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NPI Code Detail

MEDICARE: JOSIE WHITTAKER MS CCC-SLP

MEDICARE: JOSIE WHITTAKER MS CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist1026WV

General Provider Information

NPI Number : 1033980057
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSIE WHITTAKER MS CCC-SLP
Provider Business Mailing Address
First Line : 6979 TEAYS VALLEY RD
Second Line :
City : SCOTT DEPOT
State : WV
Zip : 25560-7097
Country : US
Telephone Number : 681-235-7156
Fax Number : 800-901-7511
Provider Business Practice Location Address
First Line : 6979 TEAYS VALLEY RD
Second Line :
City : SCOTT DEPOT
State : WV
Zip : 25560-7097
Country : US
Telephone Number : 681-235-7156
Fax Number : 800-901-7511
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2024
Last Update Date : 05/15/2025

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Directions to “ JOSIE WHITTAKER MS CCC-SLP” Practice Location

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