Individual
MRS. DESIREE REBECCA POLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1052 MAPLE DR, MORGANTOWN, WV 26505-2815
(304) 599-2600
(304) 599-7800
Mailing address
RR 1 BOX 205A2, LOST CREEK, WV 26385-9722
(304) 365-2327
(304) 599-7800
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
P/SLP-0467
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4005078000
—
WV
Enumeration date
04/23/2010
Last updated
12/18/2019
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