Individual
MRS. REBECCA CAROLE CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, SLP
Contact information
Practice address
PO BOX 220, BRIDGEPORT, WV 26330-0220
(304) 933-3073
Mailing address
12 MERRILL ST, BELINGTON, WV 26250-9713
(716) 581-1980
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1079
WV
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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