NPI 1235026014

Amanda Gooch

Practitioner Specialist Scott Depot, WV

Practice location

Address: 6979 Teays Valley Rd, Scott Depot, WV 25560-7097
Phone: (681) 235-7156
Mailing address: PO Box 977, Hurricane, WV 25526-0977

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1235026014
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jun 2025
Record last updated: 23 Jun 2025

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.