| NPI | 1194894170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA L RUSH Psychologist 304-336-9963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WV 241) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |