Individual
CARLIE BETH CANADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
141 STATE ST., PO BOX 220, BRIDGEPORT, WV 26330
(304) 933-3073
Mailing address
1002 MAXWELL HILL RD, BECKLEY, WV 25801-2410
(304) 673-0478
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-2553
WV
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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