| NPI | 1790845816 |
|---|---|
| Doing Business As | LAUREL RIDGE PSYCHOLOGICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | DAVID T ELLIS Psychologist/Partner 304-487-6121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WV 988) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2017-03-20 |