Individual
ERIN BASS PETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1123 8TH ST, HUNTINGTON, WV 25701-3401
(720) 621-7512
Mailing address
1123 8TH ST, HUNTINGTON, WV 25701-3401
(720) 621-7512
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-2072
WV
235Z00000X
Speech-Language Pathologist
SP.13049
OH
Other
Enumeration date
08/21/2020
Last updated
02/15/2022
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