Individual
KATIE KOZULLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFY-SLP
Contact information
Practice address
161 BAKERS RIDGE RD, MORGANTOWN, WV 26508-1459
(304) 285-0692
Mailing address
161 BAKERS RIDGE RD, MORGANTOWN, WV 26508-1459
(304) 285-0692
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0665
WV
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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