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Contact Information

GREENBRIER COUNTY DAY REPORT
267 DAWKINS DR
LEWISBURG, WV24901-9674
 Phone: 304-647-1389
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for GREENBRIER COUNTY DAY REPORT · (Female)

NPI # 1508306978
Status Active
Credentials
Entity Individual
Enumeration date 03/03/2017
Last updated 03/03/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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