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Contact Information

INTEGRATED GERIATRIC CARE PLLC
2801 DUDLEY AVE
SUITE B
PARKERSBURG, WV26101-2105
 Phone: 304-428-1114
 Fax: 304-428-1135
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for INTEGRATED GERIATRIC CARE PLLC · (Female)

NPI # 1396797825
Status Active
Credentials
Entity Individual
Enumeration date 05/16/2006
Last updated 11/18/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • WV License # 19159
  • OH Medicaid 2809090
  • WV Medicaid 3810010872
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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