TERESA DIVITA CANTERBURY

CHARLESTON, WV
NPI1720096407
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist
(Licence: WV  SLP-0756)
Enumeration Date2006-08-04
Last Update Date2007-07-08
Business Address
TERESA DIVITA CANTERBURY MS. CCC-SLP
1015 OAKHURST DR
CHARLESTON, WV 25314-2049
Phone number: 304-345-8101
Mailing Address
TERESA DIVITA CANTERBURY MS. CCC-SLP
1015 OAKHURST DR
CHARLESTON, WV 25314-2049
Phone number: 304-345-8101