West, Amber Rae

West, Amber Rae is an sole proprietor health care provider with primary practice located at 1002 Rustling Rd , South Charleston WV 25303-2725. 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. West, Amber Rae can be contacted via phone (304) 550-6965.

Contact Information

Primary practice address
1002 Rustling Rd South Charleston WV 25303-2725
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP-1034 West Virginia

Profile Details

NPI number 1316073000
LBN Legal business name West, Amber Rae
Credentials MS, CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2007
Last updated Oct 2nd, 2014 - about 12 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 1316073000 NPPES
West Virginia MEDICAID 3810007148

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