Ashley N. Cavender, Pllc | |
15 Lance Dr Charleston WV 25311-1232 | |
(304) 546-2740 | |
Not Available |
Full Name | Ashley N. Cavender, Pllc |
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Speciality | Psychologist |
Location | 15 Lance Dr, Charleston, West Virginia |
Authorized Official Name and Position | Ashley Cavender (LICENSED PSYCHOLOGIST) |
Authorized Official Contact | 3045462740 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ashley N. Cavender, Pllc Po Box 18116 South Charleston WV 25303-8116 Ph: (304) 546-2740 | Ashley N. Cavender, Pllc 15 Lance Dr Charleston WV 25311-1232 Ph: (304) 546-2740 |
NPI Number | 1790432797 |
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Provider Enumeration Date | 03/09/2022 |
Last Update Date | 07/05/2022 |
Certification Date | 07/05/2022 |
Medicare PECOS PAC ID | 2466810254 |
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Medicare Enrollment ID | O20230627001657 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790432797 | NPI | - | NPPES |
Provider Name | Ashley Nicole Cavender |
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Provider Type | Practitioner - Psychologist Billing Independently |
Provider Identifiers | NPI Number: 1487239935 PECOS PAC ID: 3375901168 Enrollment ID: I20230627002509 |
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