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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

NPI # 1609921261
LBN Legal business name PRIMARY PSYCHOLOGICAL CARE PLLC
Authorized official THOMAS STEIN - (CLINICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/24/2007
Last updated 06/20/2008 - About 18 years ago
Identifiers
WV License # 234
WV License # 478
WV Medicaid 3810006083
WV Other 001710748 BCBS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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