Provider Demographics
NPI:1952650343
Name:LINGUACARE ASSOCIATES
Entity Type:Organization
Organization Name:LINGUACARE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:VICKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PULLINS
Authorized Official - Suffix:
Authorized Official - Credentials:M A
Authorized Official - Phone:304-542-4496
Mailing Address - Street 1:120 HANWORTH LN
Mailing Address - Street 2:
Mailing Address - City:DANIELS
Mailing Address - State:WV
Mailing Address - Zip Code:25832-9029
Mailing Address - Country:US
Mailing Address - Phone:304-345-6313
Mailing Address - Fax:304-763-7954
Practice Address - Street 1:120 HANWORTH LANE
Practice Address - Street 2:
Practice Address - City:DANIELS
Practice Address - State:WV
Practice Address - Zip Code:25832
Practice Address - Country:US
Practice Address - Phone:304-345-6313
Practice Address - Fax:304-763-7954
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-31
Last Update Date:2012-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV0549261QA3000X, 261QH0700X, 283XC2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No261QA3000XAmbulatory Health Care FacilitiesClinic/CenterAugmentative Communication
No283XC2000XHospitalsRehabilitation HospitalChildren
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV283X00000XMedicaid