Fusco, Mary Lou

Fusco, Mary Lou is an sole proprietor health care provider with primary practice located at 408 E B Saunders Way , Clarksburg WV 26301-3712. 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. Fusco, Mary Lou can be contacted via phone (304) 624-6554.

Contact Information

Primary practice address
408 E B Saunders Way Clarksburg WV 26301-3712
Phone: (304) 624-6554
Fax: (304) 624-5223
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 0115 West Virginia

Profile Details

NPI number 1003085028
LBN Legal business name Fusco, Mary Lou
Credentials MS/CCC/SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2008
Last updated Feb 23rd, 2008 - about 18 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 1003085028 NPPES
West Virginia MEDICAID 0153283000

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