Individual
DR. MARY LYNN GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
1316 ROCK CLIFF DR, MARTINSBURG, WV 25401-3278
(304) 264-8884
(304) 264-8885
Mailing address
1316 ROCK CLIFF DR, MARTINSBURG, WV 25401-3278
(304) 264-8884
(304) 264-8885
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
A-0095
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0160567000
—
WV
Enumeration date
07/09/2006
Last updated
08/15/2007
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