Individual
MRS. HEIDI O SNOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCCSLP
Contact information
Practice address
111 W WASHINGTON ST, SUITE 2A, CHARLES TOWN, WV 25414-1559
(304) 728-2820
(304) 728-4119
Mailing address
PO BOX 1217, CHARLES TOWN, WV 25414-7217
(304) 728-2820
(304) 728-4119
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0297
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0154020000
—
WV
Enumeration date
03/26/2007
Last updated
07/09/2007
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