Individual
CAROLYN D MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2520 VALLEY DR, PT PLEASANT, WV 25550-2031
(304) 675-4340
(304) 675-5893
Mailing address
2520 VALLEY DR, PT PLEASANT, WV 25550-2031
(304) 675-4340
(304) 675-5893
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-0532
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
550440086
550440086
WV
Enumeration date
06/03/2011
Last updated
06/03/2011
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