Individual
JENNA DIANE RUNYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
179 STATION PL, SUITE 100, HURRICANE, WV 25526-6578
(304) 760-6300
(304) 201-5123
Mailing address
PO BOX 450, SCOTT DEPOT, WV 25560-0450
(304) 760-6300
(304) 201-5123
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1482
WV
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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