Horizon Psychological Services, Pllc | |
1126 Hancock Dr Beckley WV 25801-3670 | |
(304) 673-3823 | |
Not Available |
Full Name | Horizon Psychological Services, Pllc |
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Speciality | Psychologist |
Location | 1126 Hancock Dr, Beckley, West Virginia |
Authorized Official Name and Position | Katie Marie Tharp (LICENSED PSYCHOLOGIST) |
Authorized Official Contact | 3048905478 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Horizon Psychological Services, Pllc 1126 Hancock Dr Beckley WV 25801-3670 Ph: (304) 890-5478 | Horizon Psychological Services, Pllc 1126 Hancock Dr Beckley WV 25801-3670 Ph: (304) 673-3823 |
NPI Number | 1407150220 |
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Provider Enumeration Date | 01/09/2011 |
Last Update Date | 08/04/2016 |
Medicare PECOS PAC ID | 4486947389 |
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Medicare Enrollment ID | O20160801000010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407150220 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 1010 (West Virginia) | Primary |
Provider Name | Katie Marie Tharp |
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Provider Type | Practitioner - Psychologist Billing Independently |
Provider Identifiers | NPI Number: 1972806446 PECOS PAC ID: 7012199656 Enrollment ID: I20110303000334 |
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