Individual
MRS. MARTHA NEALE BLENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1340 HAL GREER BLVD, HUNTINGTON, WV 25701-3800
(304) 526-6335
(304) 526-4866
Mailing address
1304 SMITH ST, MILTON, WV 25541-1332
(304) 743-8778
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-0117
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0152541000
—
WV
Enumeration date
01/08/2007
Last updated
07/09/2007
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