NPI 1598402265 · live from the CMS NPI Registry
Mackenzie Bosley
Speech-Language Pathologist, in Jane Lew, WV. National Provider Identifier 1598402265, active.
NPI record
| NPI | 1598402265 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 199 Court Street, Jane Lew, WV 26378 |
| Practice phone | 304-884-7811 |
| Mailing address | 102 Ashley Oaks, Morgantown, WV 26505 |
| Enumerated | May 16, 2022 |
| Last updated | May 16, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.