Mcclung, Lisa Muccioli

Mcclung, Lisa Muccioli is an sole proprietor health care provider with primary practice located at 247 Harrison Avenue Morgan County Board Of Education, Berkeley Springs WV 25411. 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. Mcclung, Lisa Muccioli can be contacted via phone (304) 258-2014.

Contact Information

Primary practice address
247 Harrison Avenue Morgan County Board Of Education Berkeley Springs WV 25411
Phone: (304) 258-2014
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP0808 West Virginia

Profile Details

NPI number 1912142704
LBN Legal business name Mcclung, Lisa Muccioli
Credentials M.S.CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2008
Last updated Dec 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 1912142704 NPPES
West Virginia MEDICAID 7403044000

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