NPI | 1780787358 |
---|---|
Entity Type | Organization |
Authorized Contact | HAROLD D SLAUGHTER Psychologist Owner 304-263-9095 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: WV 1229) |
Additional Taxonomies | 103T00000X Psychologist (Licence: WV 202) |
103TS0200X Psychologist, School (Licence: WV 220004) | |
Enumeration Date | 2006-09-07 |
Last Update Date | 2020-08-22 |