Doctor Name: | HEATHER TROY |
NPI Number: | 1841684297 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SLP-1540 |
Business Practice Address: | 62 Evergreen Ln Moundsville, WV - 260414231 |
Business Phone Number: | 3048431290 |
Business Fax Number: | |
Mailing Address: | 62 Evergreen Ln, MOUNDSVILLE |
State: | WV |
Postal Code: | 260414231 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/24/2015 |
NPI Last Update Date: | 03/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP-1540 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |