Individual
AMBER RAE WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1002 RUSTLING RD, SOUTH CHARLESTON, WV 25303-2725
(304) 550-6965
Mailing address
1002 RUSTLING RD, SOUTH CHARLESTON, WV 25303-2725
(304) 550-6965
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1034
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810007148
—
WV
Enumeration date
02/26/2007
Last updated
10/02/2014
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