| NPI | 1053655092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA SCOLARO Office Manager 304-260-8808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WV WV928) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |