Phyllis Neer | |
709 Beechurst Ave Suite 9 Morgantown WV 26505-4689 | |
(304) 290-0923 | |
Not Available |
Full Name | Phyllis Neer |
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Speciality | Psychologist |
Location | 709 Beechurst Ave, Morgantown, West Virginia |
Authorized Official Name and Position | Phyllis J. Neer (OWNER) |
Authorized Official Contact | 3042900923 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Phyllis Neer 709 Beechurst Ave Suite 9 Morgantown WV 26505-4689 Ph: (304) 290-0923 | Phyllis Neer 709 Beechurst Ave Suite 9 Morgantown WV 26505-4689 Ph: (304) 290-0923 |
NPI Number | 1174860654 |
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Provider Enumeration Date | 01/03/2013 |
Last Update Date | 05/09/2013 |
Medicare PECOS PAC ID | 7719124809 |
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Medicare Enrollment ID | O20130509000080 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174860654 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Phyllis J Neer |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1265535207 PECOS PAC ID: 9133201106 Enrollment ID: I20080129000827 |
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