| NPI | 1477972834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY CORBETT-ALDERMAN Licensed Psychologist 304-736-6677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WV 895) |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2014-10-20 |