Individual
KATRINA CRUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 ELIZABETH ST, CHARLESTON, WV 25311-2119
(304) 348-7740
(304) 348-6671
Mailing address
501 22ND ST, DUNBAR, WV 25064-1711
(304) 766-7655
(304) 755-2824
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1848
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0153802000
—
WV
Enumeration date
02/06/2008
Last updated
02/06/2008
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