| NPI | 1730559824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ROOPER Speech Language Pathologist 304-784-7936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2015-10-01 |