Fahey, Mary Anne

Fahey, Mary Anne is an sole proprietor health care provider with primary practice located at 401 South Queen Street Berkeley County Board Of Education, Martinsburg WV 25401. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Fahey, Mary Anne can be contacted via phone (304) 267-3500.

Contact Information

Primary practice address
401 South Queen Street Berkeley County Board Of Education Martinsburg WV 25401
Phone: (304) 267-3500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 0609 West Virginia

Profile Details

NPI number 1104099563
LBN Legal business name Fahey, Mary Anne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 8th, 2008
Last updated Apr 8th, 2008 - about 17 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 1104099563 NPPES
West Virginia MEDICAID 0153459000

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