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NPI Code Detail

MEDICARE: AUTUMN MURDOCH

MEDICARE: AUTUMN MURDOCH
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 Pathologist0989WV

General Provider Information

NPI Number : 1760846646
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUTUMN MURDOCH
Provider Business Mailing Address
First Line : PO BOX 977
Second Line :
City : HURRICANE
State : WV
Zip : 25526-0977
Country : US
Telephone Number :
Fax Number :
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 : 04/07/2016
Last Update Date : 05/04/2026

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Directions to “ AUTUMN MURDOCH ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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