| Childrens Treatment Ctr And Adult Therapy Clinic | |
|
171liberty Ave, Clarksburg, WV 26301-0000 | |
| (304) 624-5009 | |
| (304) 624-5107 |
| Full Name | Childrens Treatment Ctr And Adult Therapy Clinic |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 171liberty Ave, Clarksburg, West Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912162082 | NPI | - | NPPES |
| 3810001801 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Childrens Treatment Ctr And Adult Therapy Clinic 171liberty Ave, Clarksburg, WV 26301-0000 Ph: (304) 624-5009 | Childrens Treatment Ctr And Adult Therapy Clinic 171liberty Ave, Clarksburg, WV 26301-0000 Ph: (304) 624-5009 |
Mary Lou Fusco, MS/CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 408 E B Saunders Way, Clarksburg, WV 26301 Phone: 304-624-6554 Fax: 304-624-5223 | |
Cheryl A. Marks, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 408 E B Saunders Way, Clarksburg, WV 26301 Phone: 304-624-6554 Fax: 304-624-5223 | |
Mrs. Gina Marie Lutyens, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1201 N 15th St, Clarksburg, WV 26301 Phone: 304-624-6554 Fax: 304-624-5223 | |
Valerie Lynn Lively, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 408 E B Saunders Way, Clarksburg, WV 26301 Phone: 304-624-6554 Fax: 304-624-5223 | |
Amanda Buckley, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 445 W Main St, Clarksburg, WV 26301 Phone: 304-363-7323 Fax: 304-366-2483 | |
Sidney Ross, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1 Freedoms Way, Clarksburg, WV 26301 Phone: 304-626-1600 | |
Pamela Ashley Burgess, MS, CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 408 E B Saunders Way, Clarksburg, WV 26301 Phone: 304-624-6554 Fax: 304-624-5223 |