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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BENJAMIN DEFAZIO

Active Sole Proprietor

BENJAMIN DEFAZIO is a Speech, Language and Hearing Specialist healthcare provider located in NUTTER FORT, West Virginia. NPI 1124429337 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · NUTTER FORT, WV

Registration Details

NPI Number
1124429337
Provider Type
Individual
Gender
Male
NPI Issued
Sep 7, 2014 (11.947147909886 yrs)
Last Updated
Sep 7, 2014
Sole Proprietor
Yes

Practice Information

Address
304 PENNSYLVANIA AVE
NUTTER FORT, WV, 263014520
Browse WV providers · Browse ZIP 26301
Phone
3049333073
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.