| NPI | 1760697551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA E. JARRELL Licensed Psychologist 304-323-1627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WV 846) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2008-06-19 |