| NPI | 1376581942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | C DAVID BLAIR President 304-342-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: WV 514) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: WV 514) |
| 103TC0700X Psychologist, Clinical (Licence: WV 514) | |
| 103TF0200X Psychologist, Forensic (Licence: WV 514) | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2023-08-17 |