Individual
AUTUMN NICHOLE PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
154 E MAIN ST, CLARKSBURG, WV 26301-2160
(304) 933-3073
Mailing address
203 JUNIPER LN, MORGANTOWN, WV 26505-1201
(304) 780-9417
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-2654
WV
Other
Enumeration date
11/04/2025
Last updated
11/04/2025
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