Individual
MRS. ANN WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,CCCA
Contact information
Practice address
830 PENNSYLVANIA AVE STE 204, CHARLESTON, WV 25302-3389
(304) 388-2980
Mailing address
830 PENNSYLVANIA AVE STE 204, CHARLESTON, WV 25302-3389
(304) 388-2980
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A0193
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810025124
—
WV
01
—
A0193
STATE LICENSE
WV
Enumeration date
10/05/2006
Last updated
09/30/2025
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