| Chiron Psychotherapy Pllc | |
|
1907 Constitution Dr Fairmont WV 26554-8527 | |
| (304) 669-6408 | |
| Not Available |
| Full Name | Chiron Psychotherapy Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 1907 Constitution Dr, Fairmont, West Virginia |
| Authorized Official Name and Position | Hallie A Mcleod (THERAPIST/OWNER) |
| Authorized Official Contact | 3046696408 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chiron Psychotherapy Pllc 1907 Constitution Dr Fairmont WV 26554-8527 Ph: (304) 669-6408 | Chiron Psychotherapy Pllc 1907 Constitution Dr Fairmont WV 26554-8527 Ph: (304) 669-6408 |
| NPI Number | 1912392838 |
|---|---|
| Provider Enumeration Date | 03/30/2015 |
| Last Update Date | 03/30/2015 |
| Medicare PECOS PAC ID | 5193046035 |
|---|---|
| Medicare Enrollment ID | O20150604000866 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912392838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 756 (West Virginia) | Primary |
| Provider Name | Hallie A Mcleod |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699945402 PECOS PAC ID: 8123078631 Enrollment ID: I20130322000388 |
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