Individual
CRYSTAL G IHLENFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 MCCOY RD, HUNTINGTON, WV 25701-4937
(304) 529-6205
Mailing address
2001 MCCOY RD, HUNTINGTON, WV 25701-4937
(304) 529-6205
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1127
WV
Other
Enumeration date
01/07/2009
Last updated
01/07/2009
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