Individual
MR. PETER KENT AMERICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS CCC SLP
Contact information
Practice address
4408 MACCORKLE AVE SE, CHARLESTON, WV 25304-2506
(304) 357-9058
(304) 357-4412
Mailing address
4408 MACCORKLE AVE SE, CHARLESTON, WV 25304-2506
(304) 357-9058
(304) 357-4412
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0002
WV
Other
Enumeration date
03/08/2007
Last updated
08/18/2016
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