NPI 1194604595 · live from the CMS NPI Registry
Haley Nicole Bostic, M.S. CCC-SLP
Speech-Language Pathologist, in Grafton, WV. National Provider Identifier 1194604595, active.
NPI record
| NPI | 1194604595 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 71 Utt Dr, Grafton, WV 26354 |
| Practice phone | 304-265-2497 |
| Mailing address | 68 W Wilson St, Morgantown, WV 26501 |
| Enumerated | August 29, 2025 |
| Last updated | August 29, 2025 |
| Sole proprietor | No |
| Other names | Haley Wilburn |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | SLP-2460 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.