Graham, Mary Lynn

Graham, Mary Lynn is an sole proprietor health care provider with primary practice located at 1316 Rock Cliff Dr , Martinsburg WV 25401-3278. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as her primary health care specialty. Graham, Mary Lynn can be contacted via phone (304) 264-8884.

Contact Information

Primary practice address
1316 Rock Cliff Dr Martinsburg WV 25401-3278
Phone: (304) 264-8884
Fax: (304) 264-8885
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X A-0095 West Virginia

Profile Details

NPI number 1730112954
LBN Legal business name Graham, Mary Lynn
Credentials AU.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2006
Last updated Aug 15th, 2007 - 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 1730112954 NPPES
West Virginia MEDICAID 0160567000

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