Doctor Name: | MRS. CYNTHIA R PORTREY |
NPI Number: | 1093794307 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC/SLP |
License Number: | 03533 |
Business Practice Address: | 510 Butler Ave Martinsburg, WV - 254019990 |
Business Phone Number: | 3042630811 |
Business Fax Number: | |
Mailing Address: | 14 Cypress Point Dr, CHARLES TOWN |
State: | WV |
Postal Code: | 254145240 |
Phone Number: | 3047280005 |
Fax Number: | |
NPI Enumeration Date: | 01/13/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 03533 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |