Individual
LINDA PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1 MEDICAL CENTER DRIVE, MORGANTOWN, WV 26505
(304) 598-4118
Mailing address
520 POCAHONTAS AVE, MORGANTOWN, WV 26505-2273
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0170
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0154717000
—
WV
Enumeration date
11/08/2006
Last updated
07/08/2007
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