Stacy Broadhurst, SLP
Speech-Language Pathologist, in Morgantown, WV. Individual provider (NPI-1).
NPI number1871663013
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1871663013
- Entity type
- Individual (NPI-1)
- Name
- Stacy Broadhurst
- Credential
- SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 8, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 0707 | WV | Yes |
Practice location
1 Medical Center DriveMorgantown, WV 26506
Phone 304-598-4118
Mailing address
1610 Michael LnFairmont, WV 26554-2113
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All 131 Speech-Language Pathologist providers in Morgantown · All 6,887 providers in Morgantown
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