Benjamin Defazio
Speech-Language Pathologist · Nutter Fort, WV
Practice location
304 Pennsylvania AveNutter Fort, WV 26301-4520
- Phone
- (304) 933-3073
NPI record
- NPI
- 1124429337
- Entity type
- Individual (Type 1)
- Enumeration date
- September 7, 2014
- Last updated
- September 7, 2014
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X |
— | — |
About Benjamin Defazio
Benjamin Defazio is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 304 Pennsylvania Ave, Nutter Fort, WV 26301-4520. The NPI number 1124429337 was assigned on September 7, 2014 and the record was last updated on September 7, 2014.
Frequently asked questions
What is the NPI number of Benjamin Defazio?
The NPI number is 1124429337.
What is the phone number of Benjamin Defazio?
The phone number listed for the practice location is (304) 933-3073.
Where is Benjamin Defazio located?
304 Pennsylvania Ave, Nutter Fort, WV 26301-4520.
What is the taxonomy code for Benjamin Defazio?
The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.