Dana Lee Cuomo
Individual provider Active NPI Speech-Language Pathologist · Wellsburg, WV
NPI 1659554269 · NPPES record last updated Dec 6, 2007
Key facts
- NPI
- 1659554269
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2196 (WV)
- Practice address
- 1201 Pleasant Ave
Wellsburg, WV 26070-1344 - Phone
- (304) 737-3481
- Fax
- (304) 737-3480
- NPI assigned
- Dec 6, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2196 | WV | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brooke County Board of Education | Past | Accepting new patients | |
| Brooke County Board of Education | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2196 | WV | Yes |
Addresses
Primary practice location
1201 Pleasant Ave
Wellsburg, WV 26070-1344
Mailing address
1201 Pleasant Ave
Wellsburg, WV 26070-1344
Phone (304) 737-3481
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0155518000 | Medicaid | WV |
Other providers in Wellsburg, WV
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- Kara Cooper
- Spencer J. Cooper
- Mandi Alexis Cormier
- Karen Criswell
- Alyssa N Custer-Auten
- Jami Marie Dantry
- Amy Sue Demi
- Joseph J Depetro III
- Christina Terri Dimech
All providers in Wellsburg, WV · Speech-Language Pathologist in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.