| NPI | 1720170335 |
|---|---|
| Doing Business As | WILLOW RIDGE PLLC |
| Entity Type | Organization |
| Authorized Contact | RHONDA L HAMM Psychiatrist/Owner 304-645-7503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WV 1649) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2011-11-17 |