| NPI | 1609053966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA MARIE SANDEL PETTIT Owner/Psychologist 304-777-4848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WV 572) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-01-29 |