| 7th Ave Clinic | |
|
623 Temple St Hinton WV 25951 | |
| (304) 673-1913 | |
| Not Available |
| Full Name | 7th Ave Clinic |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 623 Temple St, Hinton, West Virginia |
| Authorized Official Name and Position | Lynn M Sanders (OWNER) |
| Authorized Official Contact | 3046731913 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 7th Ave Clinic Hc 74 Box 284 Hinton WV 25951-9121 Ph: (394) 673-1913 | 7th Ave Clinic 623 Temple St Hinton WV 25951 Ph: (304) 673-1913 |
| NPI Number | 1932288107 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 06/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932288107 | NPI | - | NPPES |
| PENDING | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 889 (West Virginia) | Primary |
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