Wellformed AI

NPI 1851909014 · live from the CMS NPI Registry

Tina B Altizer, MS CCC-SLP

Speech-Language Pathologist, in Princeton, WV. National Provider Identifier 1851909014, active.

NPI record

NPI1851909014 Type 1 · individual
StatusActive
Primary specialtySpeech-Language Pathologist, 235Z00000X
Practice location120 12th Street, Princeton, WV 24740
Practice phone304-487-8240
EnumeratedJuly 14, 2020
Last updatedJuly 14, 2020
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Speech-Language Pathologist, primary235Z00000X2202003308 (VA)

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