NPI 1942487921 · live from the CMS NPI Registry
Maschil Booth
Speech-Language Pathologist, in Williamson, WV. National Provider Identifier 1942487921, active.
NPI record
| NPI | 1942487921 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | Rr 2 Box 310, Williamson, WV 25661 |
| Practice phone | 304-235-3333 |
| Mailing address | 1385 Mudlick Rd, Hardy, KY 41531 |
| Enumerated | January 22, 2008 |
| Last updated | February 11, 2008 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | — (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.