Provider Demographics
NPI:1316245426
Name:GELLNER, CATHY (MS CCC-A)
Entity type:Individual
Prefix:MRS
First Name:CATHY
Middle Name:
Last Name:GELLNER
Suffix:
Gender:F
Credentials:MS CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:426 8TH ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:GLEN DALE
Mailing Address - State:WV
Mailing Address - Zip Code:26038-1451
Mailing Address - Country:US
Mailing Address - Phone:304-843-1433
Mailing Address - Fax:304-843-6956
Practice Address - Street 1:426 8TH ST
Practice Address - Street 2:SUITE 202
Practice Address - City:GLEN DALE
Practice Address - State:WV
Practice Address - Zip Code:26038-1451
Practice Address - Country:US
Practice Address - Phone:304-843-1433
Practice Address - Fax:304-843-6956
Is Sole Proprietor?:No
Enumeration Date:2011-03-14
Last Update Date:2011-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVA-0084237600000X
OHA-00657237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter