Individual
KELLY JO VERBOSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
1160 VAN VOORHIS RD, MORGANTOWN, WV 26505-3437
(304) 598-1100
Mailing address
486 REBECCA ST, MORGANTOWN, WV 26505-2249
(304) 598-5650
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-0171
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004752000
—
WV
Enumeration date
02/20/2007
Last updated
07/09/2007
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