| Laurel Mountain Psychological Inc. | |
|
219 Brookshire Ln Beckley WV 25801-6729 | |
| (304) 952-1193 | |
| Not Available |
| Full Name | Laurel Mountain Psychological Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 219 Brookshire Ln, Beckley, West Virginia |
| Authorized Official Name and Position | Lawrence Richmond (OWNER) |
| Authorized Official Contact | 3049521193 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurel Mountain Psychological Inc. 219 Brookshire Ln Beckley WV 25801-6729 Ph: (304) 952-1193 | Laurel Mountain Psychological Inc. 219 Brookshire Ln Beckley WV 25801-6729 Ph: (304) 952-1193 |
| NPI Number | 1679994453 |
|---|---|
| Provider Enumeration Date | 12/23/2013 |
| Last Update Date | 12/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679994453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 968 (West Virginia) | Primary |
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