Individual
STEPHANIE L DISNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-A
Contact information
Practice address
1616 13TH AVENUE, SUITE 100, HUNTINGTON, WV 25701-1692
(304) 522-8800
(304) 523-4303
Mailing address
1616 13TH AVENUE, SUITE 100, HUNTINGTON, WV 25701-1692
(304) 522-8800
(304) 523-4303
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A-0251
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810013153
—
WV
Enumeration date
08/12/2008
Last updated
09/29/2021
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