NPI 1104008762 · live from the CMS NPI Registry
Sharon K. Beatty
Speech-Language Pathologist, in Moundsville, WV. National Provider Identifier 1104008762, active.
NPI record
| NPI | 1104008762 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 2700 4th St, Moundsville, WV 26041 |
| Practice phone | 304-843-4400 |
| Mailing address | Po Box 578, Moundsville, WV 26041 |
| Enumerated | December 5, 2007 |
| Last updated | December 5, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 4368 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.