Individual
TINA B ALTIZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
120 12TH STREET, PRINCETON, WV 24740
(304) 487-8240
Mailing address
120 12TH STREET, PRINCETON, WV 24740
(304) 487-8240
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202003308
VA
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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