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Contact Information

HOLLY A CLOONAN, PhD
3200 MACCORKLE AVE SE FL 5
CHARLESTON, WV25304-1227
 Phone: 304-388-1000
 Fax: 304-388-1031
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for HOLLY A CLOONAN · (Female)

NPI # 1548362247
Status Active
Credentials PhD
Entity Individual
Enumeration date 09/02/2006
Last updated 11/11/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • WV License # 445
  • WV Medicaid 0163280000
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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