Abbye Marye Jude MS CCC-S

NPI 1770760167 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1770760167
Gender Female
Enumeration Date 01/28/2008
Last Updated 01/28/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
506 HOLLY AVE
LOGAN WV, 25601-3306, US
Phone (304) 792-2073
Fax
Business Location
506 HOLLY AVE
LOGAN WV, 25601-3306, US
Phone (304) 855-5265
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State West Virginia
License Number 12137816
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According to our database, Mrs. Abbye Marye Jude MS CCC-S NPI is 1770760167, taxonomy code is 235Z00000X and license number is 12137816, license state is located at West Virginia. Abbye Marye Jude MS CCC-S physically located at 506 Holly Ave, Logan WV, 25601-3306. NPI Number Abbye Marye Jude MS CCC-S has the Individual type.

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1770760167 NPI number is provided on an as is basis without warranty of any kind. 1770760167 is maintained by the National Plan & Provider Enumeration System. The contents of Abbye Marye Jude MS CCC-S are for informational purposes only.