NPI 1508698085 · live from the CMS NPI Registry
Victoria Leeann Bates, M.S., CF-SLP
Speech-Language Pathologist, in Clarksburg, WV. National Provider Identifier 1508698085, active.
NPI record
| NPI | 1508698085 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 154 E Main St, Clarksburg, WV 26301 |
| Practice phone | 304-933-3073 |
| Mailing address | Po Box 698, Mill Creek, WV 26280 |
| Enumerated | August 14, 2024 |
| Last updated | August 14, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 1072 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.