| NPI | 1730574013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA A NUGENT Owner/Psychologist 304-257-8232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WV 2304-8074) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WV 999) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2015-04-02 |