NPI 1063941003 · live from the CMS NPI Registry
Olesya Alexandra Buck
Speech-Language Pathologist, in Morgantown, WV. National Provider Identifier 1063941003, active.
NPI record
| NPI | 1063941003 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 1129 Andrew Dr, Morgantown, WV 26508 |
| Practice phone | 917-981-9203 |
| Enumerated | June 5, 2017 |
| Last updated | April 22, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, | 235Z00000X | 0707 |
| Speech-Language Pathologist, primary | 235Z00000X | 1942 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.