NPI 1285879023 · live from the CMS NPI Registry
Jill Bumgarner
Speech-Language Pathologist, in Elizabeth, WV. National Provider Identifier 1285879023, active.
NPI record
| NPI | 1285879023 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 1 Mulbarry St, Elizabeth, WV 26143 |
| Practice phone | 304-275-4279 |
| Enumerated | December 9, 2008 |
| Last updated | April 18, 2013 |
| Sole proprietor | No |
| Other names | Jill Mullen |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | SLP-1142 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.