Provider Demographics
NPI:1649062803
Name:BELL, MARY PEYTON (MS CF-SLP)
Entity type:Individual
Prefix:MS
First Name:MARY PEYTON
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:MS CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 BAGWELL BLVD
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:KY
Mailing Address - Zip Code:42071-3065
Mailing Address - Country:US
Mailing Address - Phone:270-978-9775
Mailing Address - Fax:
Practice Address - Street 1:198 OLD SYMSONIA RD.
Practice Address - Street 2:SUITE 201
Practice Address - City:BENTON
Practice Address - State:KY
Practice Address - Zip Code:42025
Practice Address - Country:US
Practice Address - Phone:270-533-3087
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist