Organization
123GROW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN PAY MA, CCC/SLP (SPEECH PATHOLOGIST)
(304) 412-4246
Entity
Organization
Contact information
Practice address
624 SOUTH TER, HUNTINGTON, WV 25705-1511
(304) 412-4246
Mailing address
624 SOUTH TER, HUNTINGTON, WV 25705-1511
(304) 412-4246
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-0802
WV
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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