Doctor Name: | GERALD MATHIAS |
NPI Number: | 1942487475 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 28 |
Business Practice Address: | 301 E Main St Romney, WV - 267571828 |
Business Phone Number: | 3048224800 |
Business Fax Number: | 3048223370 |
Mailing Address: | Hc 63 Box 1150, ROMNEY |
State: | WV |
Postal Code: | 267579710 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/28/2008 |
NPI Last Update Date: | 01/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 28 |
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 |