Karly Marie Wiley, | |
3428 Pennsylvania Ave, Weirton, WV 26062-3923 | |
(304) 748-8370 | |
Not Available |
Full Name | Karly Marie Wiley |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 3428 Pennsylvania Ave, Weirton, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366035024 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 1343 (Ohio) | Secondary |
235Z00000X | Speech-language Pathologist | 2170 (West Virginia) | Primary |
Provider Name | Tara Helwig Enterprises Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1962063180 PECOS PAC ID: 9830577667 Enrollment ID: O20220708000578 |
Mailing Address | Practice Location Address |
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Karly Marie Wiley, 103 Seneca St, Weirton, WV 26062-2628 Ph: () - | Karly Marie Wiley, 3428 Pennsylvania Ave, Weirton, WV 26062-3923 Ph: (304) 748-8370 |
Hancock County School District Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3248 Pennsylvania Avenue, Weirton, WV 26062 Phone: 304-748-8370 | |
Jaimee Rachelle Szymanski, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3600 West St Ste 1, Weirton, WV 26062 Phone: 304-639-9104 | |
Mr. Dean Alan Stewart, M.S.CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 601 Colliers Way, Weirton Medical Center, Weirton, WV 26062 Phone: 304-797-6104 | |
Clayton Eugene Henderson, MS CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 601 Colliers Way, Weirton, WV 26062 Phone: 304-797-6104 | |
Kalli Jean Tyner, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 601 Colliers Way, Weirton, WV 26062 Phone: 304-797-6495 |