Doctor Name: | JENNIFER HAINES |
NPI Number: | 1396114682 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | P-SLP0630 |
Business Practice Address: | 1 Medical Center Dr Morgantown, WV - 26506 |
Business Phone Number: | 3045984118 |
Business Fax Number: | 3045984066 |
Mailing Address: | Po Box 8060, MORGANTOWN |
State: | WV |
Postal Code: | 265068060 |
Phone Number: | 3045984118 |
Fax Number: | 3045984066 |
NPI Enumeration Date: | 09/17/2015 |
NPI Last Update Date: | 09/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | P-SLP0630 |
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 |