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Contact Information

PENNY O PERDUE, MA
845 4TH AVE
STE 301
HUNTINGTON, WV25701
 Phone: 304-523-8911
 Fax: 304-523-8912
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for PENNY O PERDUE · (Female)

NPI # 1508807835
Status Active
Credentials MA
Entity Individual
Enumeration date 06/09/2006
Last updated 10/14/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 41
  • WV License # 439
  • WV Medicaid 0163579000
  • WV Other 001722758 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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