NPI 1144982182 · live from the CMS NPI Registry
Amanda Buckley, SLP
Speech-Language Pathologist, in Clarksburg, WV. National Provider Identifier 1144982182, active.
NPI record
| NPI | 1144982182 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 445 W Main St, Clarksburg, WV 26301 |
| Practice phone | 304-363-7323 |
| Mailing address | 601 Locust Ave, Fairmont, WV 26554 |
| Enumerated | October 7, 2021 |
| Last updated | October 7, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | SLP-2243 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.