Daugherty, Diana Leigh

Daugherty, Diana Leigh is an individual health care provider with primary practice located at 456 Suite C Market Place Mall , Weston WV 26452. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Daugherty, Diana Leigh can be contacted via phone (304) 517-1401.

Contact Information

Primary practice address
456 Suite C Market Place Mall Weston WV 26452
Phone: (304) 517-1401
Fax: (304) 517-1404
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X A0268 West Virginia
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X A0268 West Virginia

Profile Details

NPI number 1437462017
LBN Legal business name Daugherty, Diana Leigh
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2010
Last updated Nov 12th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437462017 NPPES
West Virginia MEDICAID 3810018309

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