Provider Demographics
NPI:1073797122
Name:LOUNDER, PATRICIA A
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:A
Last Name:LOUNDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 SENECA ST
Mailing Address - Street 2:
Mailing Address - City:WEIRTON
Mailing Address - State:WV
Mailing Address - Zip Code:26062-2626
Mailing Address - Country:US
Mailing Address - Phone:304-723-5367
Mailing Address - Fax:
Practice Address - Street 1:104 N COURT STREET
Practice Address - Street 2:
Practice Address - City:NEW CUMBERLAND
Practice Address - State:WV
Practice Address - Zip Code:26047
Practice Address - Country:US
Practice Address - Phone:304-564-3411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-26
Last Update Date:2007-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist