Doctor Name: | MRS. TONYA L WORNER |
NPI Number: | 1710124052 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | SLP-0774 |
Business Practice Address: | 179 Station Place Drive Hurricane, WV - 25526 |
Business Phone Number: | 3047606300 |
Business Fax Number: | 3042015123 |
Mailing Address: | Po Box 450, SCOTT DEPOT |
State: | WV |
Postal Code: | 255600450 |
Phone Number: | 3047606300 |
Fax Number: | 3042015123 |
NPI Enumeration Date: | 01/08/2009 |
NPI Last Update Date: | 01/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP-0774 |
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 |