| Adult And Youth Services, P.l.l.c. | |
|
1200 Harrison Ave. Suite 121 Elkins WV 26241-3392 | |
| (304) 636-4200 | |
| (304) 636-4200 |
| Full Name | Adult And Youth Services, P.l.l.c. |
|---|---|
| Speciality | Psychologist |
| Location | 1200 Harrison Ave., Elkins, West Virginia |
| Authorized Official Name and Position | Dana A Nugent (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 3042578232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adult And Youth Services, P.l.l.c. Po Box 44 Davis WV 26260-0044 Ph: (304) 257-8232 | Adult And Youth Services, P.l.l.c. 1200 Harrison Ave. Suite 121 Elkins WV 26241-3392 Ph: (304) 636-4200 |
| NPI Number | 1730574013 |
|---|---|
| Provider Enumeration Date | 04/02/2015 |
| Last Update Date | 04/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730574013 | NPI | - | NPPES |
| 3810017759 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 2304-8074 (West Virginia) | Primary |
| 103TC0700X | Psychologist - Clinical | 999 (West Virginia) | Secondary |
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