123GROW

NPI: 1043580715 · Organization · Active

Primary Specialty

Speech-Language Pathologist

Practice Location

624 SOUTH TER
HUNTINGTON, WV 25705-1511 Map ↗
Phone: 304-412-4246

All Specialties & Licenses

  • Speech-Language Pathologist Primary (license: SLP-0802, WV)

NPI Registration

Enumerated: 2012-01-11

Last CMS Update: 2012-01-11