| NPI | 1043580715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN PAY Speech Pathologist 304-412-4246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: WV SLP-0802) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-01-11 |