Individual
BERNADETTE MARIE RUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
408 E B SAUNDERS WAY, CLARKSBURG, WV 26301-3712
(304) 624-6554
(304) 624-5223
Mailing address
PO BOX 1370, CLARKSBURG, WV 26302-1370
(304) 624-6554
(304) 624-5223
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0155545000
—
WV
Enumeration date
02/26/2008
Last updated
02/26/2008
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