Individual
MS. DEANNA V BASILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
BERKELEY COUNTY BOARD OF EDUCATION, 401 SOUTH QUEEEN STREET, MARTINSBURG, WV 25401
(304) 267-3500
Mailing address
42 CURRITUCK CT, BUNKER HILL, WV 25413-4333
(304) 669-2133
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2725
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810000873
—
WV
Enumeration date
02/13/2008
Last updated
02/13/2008
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