Individual
GERALD MATHIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 E MAIN ST, ROMNEY, WV 26757-1828
(304) 822-4800
(304) 822-3370
Mailing address
HC 63 BOX 1150, ROMNEY, WV 26757-9710
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
28
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7403097000
—
WV
Enumeration date
01/28/2008
Last updated
01/28/2008
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