Individual
MS. HEATHER MANGELS PACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
150 DUNCAN ROAD, BUCKEYE, WV 24924-9037
(304) 799-7400
(304) 799-2776
Mailing address
150 DUNCAN ROAD, BUCKEYE, WV 24924-9037
(304) 799-7400
(304) 799-2776
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2202003931
VA
235Z00000X
Speech-Language Pathologist
Primary
SLP-1618
WV
Other
Enumeration date
07/08/2008
Last updated
02/04/2016
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