| Doctor Name: | JAY POWELL |
| NPI Number: | 1245539063 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA CCC-SLP |
| License Number: | SLP-O675 |
| Business Practice Address: | 800 Garfield Ave Parkersburg, WV - 261015340 |
| Business Phone Number: | 3044242111 |
| Business Fax Number: | 3044242720 |
| Mailing Address: | 800 Garfield Avenue, PARKERSBURG |
| State: | WV |
| Postal Code: | 26101 |
| Phone Number: | 3044242111 |
| Fax Number: | 3044242720 |
| NPI Enumeration Date: | 03/18/2011 |
| NPI Last Update Date: | 03/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SLP-O675 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| 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 |