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Contact Information

LAUREL RIDGE PSYCHOLOGICAL ASSOCIATES
211 HUNTER PARK
LAUREL RIDGE PSYCHOLOGICAL ASSOCIATES
PRINCETON, WV24740
 Phone: 304-487-6121
 Fax: 304-487-8741
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LAUREL RIDGE PSYCHOLOGICAL ASSOCIATES · (Female)

NPI Number 1790845816
Status Active
Credentials
Entity Individual
Enumeration date 12/11/2006
Last updated 03/20/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • WV License # 988
  • WV Medicaid 3810006182
  • WV Medicaid 3810016706
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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