Individual
JENNIFER HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506
(304) 598-4118
(304) 598-4066
Mailing address
PO BOX 8060, MORGANTOWN, WV 26506-8060
(304) 598-4118
(304) 598-4066
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
P-SLP0630
WV
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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