Most Relevant Information
Provider Data
NPI Number: | 1003180811 |
Provider Name: | MOLLY BETH GREENE MS CCC/SLP |
Entity Type: | Individual |
Taxonomy Code: | 235Z00000X |
Specialty: | Speech-Language Pathologist |
License Number: |
Most Important Dates
Enumeration Date: | 02/27/2012 |
Last Updated: | 07/21/2022 |
Provider Practice Location
200 GASTON AVE
FAIRMONT
WV
265542739
Practice Location Phone/Fax
Phone: | 3046246554 |
Fax: | 3046245223 |
Provider Mailing Location
1201 N 15TH ST
CLARKSBURG
WV
263011989
Provider Mailing Phone/Fax
Phone: | 3046246554 |
Fax: | 3046245223 |