Individual
JESSICA WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
110 MORDINGTON AVENUE, JEFFERSON CO BOE, CHARLES TOWN, WV 25414
(304) 267-3595
(304) 267-3599
Mailing address
110 MORDINGTON AVENUE, JEFFERSON CO BOE, CHARLES TOWN, WV 25414
(304) 267-3595
(304) 267-3599
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/24/2014
Last updated
03/24/2014
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