MARSHALL UNIVERSITY SPEECH AND HEARING CENTER - NPI NUMBER 1407917271

Summary

Provider Name: MARSHALL UNIVERSITY SPEECH AND HEARING CENTER

NPI Number: 1407917271

Clasification: Speech-Language Pathologist (235Z00000X)

Address:
#1 JOHN MARSHALL DR
MARSHALL UNIVERSITY SPEECH AND HEARING CENTER
HUNTINGTON, WV
ZIP 25755

Phone Number: (304) 696-3641



Detailed Information

MARSHALL UNIVERSITY SPEECH AND HEARING CENTER is a speech-language pathologist in Huntington, WV. The provider is a speech pathologist is a person qualified by a master�s degree in speech-language pathology, and where applicable, licensed by the state and practicing within the scope of the license. Also, known as speech therapist, a speech pathologist evaluates patients with language and speech impairments or disorders, whether arising from physiological and neurological disturbances, defective articulation or foreign dialects, and conducts remedial programs designed to restore or improve their communication efficacy. Speech pathologists assess and treat persons with speech, language, voice, and fluency disorders. The assigned NPI number for this provider is 1407917271 and is registered as an organization entity type and is a single specialty group.

The provider's business address is:

#1 JOHN MARSHALL DR
MARSHALL UNIVERSITY SPEECH AND HEARING CENTER
HUNTINGTON, WV
ZIP 25755-675
Phone: (304) 696-3641
Fax: (304) 696-2986

The provider's authorized official is Nancy C Heffernan .
The authorized official title is Offfice Billing Manager and has the following contact phone number (304) 696-2986.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 7/8/2007.





Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 235Z00000X Speech-Language Pathologist Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 4000464000 MEDICAID WV

NPI Record

No. Field Name Field Value
1 NPI 1407917271
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name MARSHALL UNIVERSITY SPEECH AND HEARING CENTER
5 Provider First Line Business Practice Location Address #1 JOHN MARSHALL DR
6 Provider Second Line Business Practice Location Address MARSHALL UNIVERSITY SPEECH AND HEARING CENTER
7 Provider Business Practice Location Address City Name HUNTINGTON
8 Provider Business Practice Location Address State Name WV
9 Provider Business Practice Location Address Postal Code 257552675
10 Provider Business Practice Location Address Country Code If outside U S US
11 Provider Business Practice Location Address Telephone Number 3046963641
12 Provider Business Practice Location Address Fax Number 3046962986
13 Provider Enumeration Date 12/13/2006
14 Last Update Date 7/8/2007
15 Authorized Official Last Name HEFFERNAN
16 Authorized Official First Name NANCY
17 Authorized Official Middle Name C
18 Authorized Official Title or Position OFFFICE BILLING MANAGER
19 Authorized Official Telephone Number 3046962986
20 Healthcare Provider Taxonomy Code 1 235Z00000X
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Other Provider Identifier 1 4000464000
23 Other Provider Identifier Type Code 1 05
24 Other Provider Identifier State 1 WV
25 Authorized Official Name Prefix Text MS.
26 Healthcare Provider Taxonomy Group 1 193400000X SINGLE SPECIALTY GROUP

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This page was last updated on: 10/12/2014
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