Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Teresa Divita Canterbury, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1720096407

Teresa Divita Canterbury, MSCCC-SLP is a Speech-Language Pathologist in Charleston, West Virginia. Practices as a sole proprietor. Licensed in West Virginia.

Licensed in
WV
In the registry since
2006
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Practice location Address checks out

1015 Oakhurst Dr
Charleston, WV 25314-2049
Phone: (304) 345-8101
Fax: (304) 345-7386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP-0756 (WV)

Record details

NPI number1720096407
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedAugust 4, 2006
Last updated in NPPESJuly 8, 2007

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