Individual
KALLI JEAN TYNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
601 COLLIERS WAY, WEIRTON, WV 26062-5014
(304) 797-6495
Mailing address
1136 PENNSYLVANIA AVE, WEIRTON, WV 26062-3338
(906) 203-1065
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-2520
WV
Other
Enumeration date
10/23/2023
Last updated
07/08/2024
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