NPI 1083041164

Gina Marie Lutyens, MS

Practitioner Speech-Language Pathologist Clarksburg, WV

Practice location

Address: 1201 N 15th St, Clarksburg, WV 26301-1989
Phone: (304) 624-6554
Fax: (304) 624-5223
Mailing address: PO Box 1370, Clarksburg, WV 26302-1370

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence G7U136500017 (WV)

Other Speech-Language Pathologist providers in West Virginia →

Registry record

NPI: 1083041164
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Oct 2013
Record last updated: 3 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.