Individual
MS. TRISHA K KLUG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
BERKELEY COUNTY BOARD OF EDUCATION, 401 SOUTH QUEEN STREET, MARTINSBURG, WV 25401
(304) 267-3500
Mailing address
319 LINCOLN DR, MARTINSBURG, WV 25401-2425
(304) 267-3595
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12043706
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7402032000
—
WV
Enumeration date
02/13/2008
Last updated
02/13/2008
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