Provider Demographics
NPI:1053565721
Name:ZERHUSEN, AMY LYONS (MS)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:LYONS
Last Name:ZERHUSEN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1153 HAMILTON RD
Mailing Address - Street 2:
Mailing Address - City:PARK HILLS
Mailing Address - State:KY
Mailing Address - Zip Code:41011-2037
Mailing Address - Country:US
Mailing Address - Phone:859-291-0910
Mailing Address - Fax:
Practice Address - Street 1:305 TAYLOR
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:KY
Practice Address - Zip Code:41006-8550
Practice Address - Country:US
Practice Address - Phone:859-620-2019
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-07
Last Update Date:2008-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2877235Z00000X
OH7886235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist