| NPI | 1073828158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE COMER-PORTER Executive Director 304-523-1164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: WV SLP-1267) |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2010-08-12 |