Individual
PROF. ELIZABETH SUZANNE FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1019 WETHERSFIELD XING, HURRICANE, WV 25526-8719
(304) 345-6313
(304) 766-5932
Mailing address
45 WESTERN DR, HURRICANE, WV 25526-9547
(304) 562-3226
(304) 562-3226
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0754
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7402044000
—
WV
Enumeration date
02/15/2007
Last updated
07/08/2007
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