Provider / Organization | NPI | Date Certified |
---|---|---|
JOELLEN RUCKMAN | 1073882999 | 2024-10-13 |
Joellen Ruckman is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1073882999. Registration indicates Joellen Ruckman is a provider of services with a specialization in Speech, Language and Hearing Service Providers, Speech-Language Pathologist (Speech-Language Pathologist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Speech-Language Pathologist, Speech, Language and Hearing Service Providers)
Entity Type | Individual |
Provider Name | Ms. Joellen Ruckman SLP |
Practice Office Address | 40 W MAIN ST MORGANTOWN, WV US |
Practice Office Telephone | 3042821627 |
Practice Office Fax | 3042435880 |
Mailing Address | 40 W MAIN ST MORGANTOWN, WV 265014567 US |
Business Telephone | 3042821627 |
Business Fax | 3042435880 |
Code | Practice | License No State |
---|---|---|
235Z00000X PRIMARY | Speech, Language and Hearing Service Providers Speech-Language Pathologist Speech-Language Pathologist Speech/Occupational/Physical Therapy/Chiropractor Speech-Language Pathologist Speech, Language and Hearing Service Providers | SLP 1188
WV |