Individual
DR. STEPHANIE J RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
135 STATE ST, BRIDGEPORT, WV 26330-1375
(304) 842-8445
(304) 842-8446
Mailing address
135 STATE ST, BRIDGEPORT, WV 26330-1375
(304) 842-8445
(304) 842-8446
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A-0167
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810000977
—
WV
01
—
7582622
AETNA #
WV
Enumeration date
09/25/2006
Last updated
07/09/2007
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