Individual
RACHEL WILGENHOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
340 WASHINGTON AVE, CLARKSBURG, WV 26301-2922
(304) 203-2508
Mailing address
PO BOX 220, BRIDGEPORT, WV 26330-0220
(304) 203-2508
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2365
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2365
SLP LICENSE
WV
Enumeration date
01/10/2023
Last updated
01/10/2023
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