Individual
JAY POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA CCC-SLP
Contact information
Practice address
800 GARFIELD AVE, PARKERSBURG, WV 26101-5340
(304) 424-2111
(304) 424-2720
Mailing address
800 GARFIELD AVENUE, PARKERSBURG, WV 26101
(304) 424-2111
(304) 424-2720
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-O675
WV
Other
Enumeration date
03/18/2011
Last updated
03/18/2011
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