| NPI | 1245321298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD D. PEARSE Psychologist 304-367-9232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WV 20) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |