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NPI 1770768830 · live from the CMS NPI Registry

Judith Pamela Brush

Speech-Language Pathologist, in Charles Town, WV. National Provider Identifier 1770768830, active.

NPI record

NPI1770768830 Type 1 · individual
StatusActive
Primary specialtySpeech-Language Pathologist, 235Z00000X
Practice locationJefferson County Board Of Education, 110 Mordington Ave., Charles Town, WV 25414
Practice phone304-725-9741
Mailing address44 Lacosta Blvd, Martinsburg, WV 25405
EnumeratedJanuary 8, 2008
Last updatedJanuary 8, 2008
Sole proprietorYes
Other namesJudith Adkins

Taxonomies and licenses

TaxonomyCodeLicense
Speech-Language Pathologist, primary235Z00000X— (WV)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.