Individual
BRIELLE FORDYCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., SLP
Contact information
Practice address
6 EDWIN ST, MORGANTOWN, WV 26501-8505
(304) 292-0173
Mailing address
555 EVANS STATION RD, LEMONT FURNACE, PA 15456-1079
(724) 366-0018
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP-2168
WEST VIRGINIA BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY
WV
Enumeration date
06/26/2020
Last updated
04/26/2021
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