| Mountain State Psychological Services, Pllc | |
|
130 Center St Keyser WV 26726-3520 | |
| (304) 788-1113 | |
| (304) 788-2777 |
| Full Name | Mountain State Psychological Services, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 130 Center St, Keyser, West Virginia |
| Authorized Official Name and Position | Sarah K Burke (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 3047881113 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain State Psychological Services, Pllc 130 Center St Keyser WV 26726-3520 Ph: (304) 788-1113 | Mountain State Psychological Services, Pllc 130 Center St Keyser WV 26726-3520 Ph: (304) 788-1113 |
| NPI Number | 1326117409 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8224092481 |
|---|---|
| Medicare Enrollment ID | O20041117000352 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326117409 | NPI | - | NPPES |
| 3810006086 | Medicaid | WV |
| Provider Name | April L House |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1023016920 PECOS PAC ID: 1355305517 Enrollment ID: I20041117000321 |
| Provider Name | William Charles Snoberger |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1700884699 PECOS PAC ID: 9830153006 Enrollment ID: I20190828004185 |
| Provider Name | Steven R Amtower |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114464203 PECOS PAC ID: 8820448848 Enrollment ID: I20240103000278 |
| Provider Name | Kristina Sipes Richmond |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972751121 PECOS PAC ID: 8820452071 Enrollment ID: I20240208004723 |
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