IndividualActive
Ada Burgoyne, HIS
NPI 1407582612 · Hearing Instrument Specialist · Fairmont, WV
Provider details
- NPI number
- 1407582612
- Entity type
- Individual
- Primary specialty
- Hearing Instrument SpecialistSpeech, Language and Hearing Service Providers
- Credential
- HIS
- Sex
- Female
- Sole proprietor
- No
- License
- 1093 (WV)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
162 Middletown Rd
Fairmont, WV 26554-8104
Phone: (304) 534-7150
Fax: (304) 368-9558
Approximate (ZIP-level) locationGet directions
Mailing address
162 Middletown Rd
Fairmont, WV 26554-8104
Additional practice locations (1)
- 9 Chenoweth DrBridgeport, WV 26330-1885Phone: (304) 842-1060Fax: (681) 456-0166
Registry dates
- Enumerated
- 2022-07-29
- Last updated
- 2022-07-29
- Certified
- 2022-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.