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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

NPI # 1790845816
LBN Legal business name LAUREL RIDGE PSYCHOLOGICAL ASSOCIATES
Authorized official DAVID ELLIS - (PSYCHOLOGIST/PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/11/2006
Last updated 03/20/2017 - About 9 years ago
Identifiers
WV License # 988
WV Medicaid 3810006182
WV Medicaid 3810016706
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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