Individual
KRISTINA EDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 N COURT, NEW CUMBERLAND, WV 26047-9602
(304) 231-3820
Mailing address
104 N COURT, NEW CUMBERLAND, WV 26047-9602
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0793
WV
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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