Individual
COLLEEN L. HERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
1015 OAKHURST DR, CHARLESTON, WV 25314-2049
(304) 345-8101
(304) 345-7386
Mailing address
1015 OAKHURST DR, CHARLESTON, WV 25314-2049
(304) 345-8101
(304) 345-7386
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-0281
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0153472000
—
WV
Enumeration date
08/04/2006
Last updated
07/08/2007
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