| NPI | 1306242540 |
|---|---|
| Doing Business As | MOUNTAINEER PSYCHOLOGICAL SERVICES PLLC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER GURIEL MYERS Psychologist/Owner 304-241-1766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WV 926) |
| Additional Taxonomies | 251S00000X (Licence: WV 926) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: WV 926) | |
| 103TF0200X Psychologist, Forensic (Licence: WV 926) | |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2016-05-25 |