Individual
MS. KRISTY ANNE FLEENOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCCSLP
Contact information
Practice address
ROUTE 10, WYOMING COUNTY BOARD OF EDUCATION, PINEVILLE, WV 24874-0069
(304) 732-6262
(304) 732-8569
Mailing address
PO BOX 2032, OCEANA, WV 24870-2032
(304) 682-0072
(304) 682-6481
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
ASHA09144749
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0155870000
—
WV
Enumeration date
09/07/2007
Last updated
09/07/2007
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