Individual
MRS. KRISTA SEBERT JETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1160 VAN VOORHIS RD, MORGANTOWN, WV 26505-3437
(304) 363-5235
(304) 363-5880
Mailing address
1111 MARION AVE, FAIRMONT, WV 26554-2362
(304) 288-3607
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-0913
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810002023
—
WV
Enumeration date
02/16/2007
Last updated
07/08/2007
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