1174785257 NPI number — SNOW SPEECH LANGUAGE PATHOLOGY AND REHAB UNLIMITED LLC

Table of content: (NPI 1174785257)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174785257 NPI number — SNOW SPEECH LANGUAGE PATHOLOGY AND REHAB UNLIMITED LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SNOW SPEECH LANGUAGE PATHOLOGY AND REHAB UNLIMITED LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1174785257
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/30/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1217
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHARLES TOWN
Provider Business Mailing Address State Name:
WV
Provider Business Mailing Address Postal Code:
25414-7217
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
304-728-2820
Provider Business Mailing Address Fax Number:
304-728-4119

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
113 W LIBERTY ST
Provider Second Line Business Practice Location Address:
SUITE 205
Provider Business Practice Location Address City Name:
CHARLES TOWN
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
25414
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-728-2820
Provider Business Practice Location Address Fax Number:
304-728-4119
Provider Enumeration Date:
06/30/2008

Additional Information

Authorized Official

Authorized Official Last Name:
SNOW
Authorized Official First Name:
HEIDI
Authorized Official Middle Name:
O
Authorized Official Title or Position:
OWNER SPEECH PATHOLOGIST
Authorized Official Telephone Number:
304-728-2820

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  SLP0297 , registered in the state of WV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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