Organization
CLARKSBURG AUDIOLOGY AND HEARING AID CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE S GRAHAM M.S. (AUDIOLOGIST/OWNER)
(304) 622-4327
Entity
Organization
Contact information
Practice address
110 N 6TH ST, CLARKSBURG, WV 26301-2602
(304) 622-4327
(304) 622-2144
Mailing address
110 N 6TH ST, CLARKSBURG, WV 26301-2602
(304) 622-4327
(304) 622-2144
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
A0032
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3402009000
—
WV
Enumeration date
12/17/2008
Last updated
08/15/2013
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