NPI 1104096635 · live from the CMS NPI Registry
Deborah Renee Boczek, MS,CCC/SLP
Speech-Language Pathologist, in Morgantown, WV. National Provider Identifier 1104096635, active.
NPI record
| NPI | 1104096635 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 13 S High St, Morgantown, WV 26501 |
| Practice phone | 304-624-6554 |
| Enumerated | March 12, 2008 |
| Last updated | March 12, 2008 |
| Sole proprietor | Yes |
| Other names | Deborah Jento |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | — (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.