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Contact Information

PRIMARY PSYCHOLOGICAL CARE PLLC
216 MAPLE AVENUE
MOOREFIELD, WV26836
 Phone: 304-530-6748
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for PRIMARY PSYCHOLOGICAL CARE PLLC · (Female)

NPI Number 1609921261
Status Active
Credentials
Entity Individual
Enumeration date 01/24/2007
Last updated 06/20/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • WV License # 234
  • WV License # 478
  • WV Medicaid 3810006083
  • WV Other 001710748 BCBS
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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