ALEXA MACKENZIE PONICK

MORGANTOWN, WV
NPI1093328577
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: WV  2193)
Additional Taxonomies235Z00000X Speech-Language Pathologist,
(Licence: WV  0848)
235Z00000X Speech-Language Pathologist,
Enumeration Date2020-08-25
Last Update Date2021-08-03
Business Address
ALEXA MACKENZIE PONICK
6 EDWIN ST
MORGANTOWN, WV 26501-8505
Phone number: 304-292-0173
Mailing Address
ALEXA MACKENZIE PONICK
198 ULLERY RD
CARMICHAELS, PA 15320-2448
Phone number: