Individual
JONATHAN R LOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, CCC-SLP
Contact information
Practice address
200 S RITCHIE AVE, RAVENSWOOD, WV 26164-1721
(304) 273-9385
Mailing address
931 MONTROSE DR, SOUTH CHARLESTON, WV 25303-2627
(304) 669-3271
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1948
WV
Other
Enumeration date
03/14/2021
Last updated
03/14/2021
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