Individual
DR. MARY ELIZABETH REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD CCC SLP
Contact information
Practice address
ONE JOHN MARSHALL DRIVE, MARSHALL UNIVERSITY SPEECH AND HEARING CENTER, HUNTINGTON, WV 25755-2675
(304) 696-3641
(304) 696-2986
Mailing address
ONE JOHN MARSHALL DRIVE, MARSHALL UNIVERSITY SPEECH AND HEARING CENTER, HUNTINGTON, WV 25755-2675
(304) 696-3641
(304) 696-2986
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP 0503
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0160823000
—
WV
Enumeration date
12/13/2006
Last updated
07/08/2007
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