NPI 1629391750 · live from the CMS NPI Registry
Kathy M. Brooks, MS SLP
Speech-Language Pathologist, in Fairmont, WV. National Provider Identifier 1629391750, active.
NPI record
| NPI | 1629391750 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 200 Gaston Ave, Fairmont, WV 26554 |
| Practice phone | 304-624-6554 |
| Enumerated | March 3, 2010 |
| Last updated | March 3, 2010 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 6902 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.