Individual
TAYLOR MORRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2345 CHESTERFIELD AVE STE 201, CHARLESTON, WV 25304-1063
(304) 343-2047
(304) 343-2069
Mailing address
508 MONTROSE DR, SOUTH CHARLESTON, WV 25303-1928
(301) 876-8858
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1909
WV
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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