Doctor Name: | GRETA PAIGE RINE |
NPI Number: | 1245552819 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC, SLP |
License Number: | SLP-1150 |
Business Practice Address: | 213 Davis Street Bridgeport, WV - 26330 |
Business Phone Number: | 3048420044 |
Business Fax Number: | 3048420033 |
Mailing Address: | Po Box 1276, BRIDGEPORT |
State: | WV |
Postal Code: | 26330 |
Phone Number: | 3048420044 |
Fax Number: | 3048420033 |
NPI Enumeration Date: | 02/23/2010 |
NPI Last Update Date: | 08/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP-1150 |
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 |