Victoria Leeann Bates, M.S., CF-SLP

Individual provider Active NPI Speech-Language Pathologist · Clarksburg, WV

NPI 1508698085 · NPPES record last updated Aug 14, 2024

Key facts

NPI
1508698085
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
1072 (WV)
Practice address
154 E Main St
Clarksburg, WV 26301-2160
Phone
(304) 933-3073
NPI assigned
Aug 14, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1072 WV Yes

Addresses

Primary practice location

154 E Main St
Clarksburg, WV 26301-2160

Mailing address

PO Box 698
Mill Creek, WV 26280-0698
Phone (304) 993-5358

Other providers in Clarksburg, WV

All providers in Clarksburg, WV · Speech-Language Pathologist in West Virginia

Sources for this page

Verify at the official NPI Registry.