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NPI Code Detail

MEDICARE: CARLY SAUNDERS M.S., CCC/SLP

MEDICARE: CARLY SAUNDERS M.S., 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 Pathologist168907KY
2235Z00000XSpeech-Language Pathologist2075WV

General Provider Information

NPI Number : 1861947103
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLY SAUNDERS M.S., CCC/SLP
Provider Business Mailing Address
First Line : 1390 N POPLAR FORK RD
Second Line :
City : HURRICANE
State : WV
Zip : 25526-7112
Country : US
Telephone Number : 304-757-7856
Fax Number : 606-329-9143
Provider Business Practice Location Address
First Line : 1390 N POPLAR FORK RD
Second Line :
City : HURRICANE
State : WV
Zip : 25526-7112
Country : US
Telephone Number : 304-757-7826
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2016
Last Update Date : 10/22/2020

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Directions to “ CARLY SAUNDERS M.S., CCC/SLP” Practice Location

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