| Polonchak Educational Associates | |
|
129 E. German St. Shepherdstown WV 25443 | |
| (304) 876-3022 | |
| (304) 876-1421 |
| Full Name | Polonchak Educational Associates |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 129 E. German St., Shepherdstown, West Virginia |
| Authorized Official Name and Position | Cathy Polonchak (VICE PRESIDENT) |
| Authorized Official Contact | 3048761421 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Polonchak Educational Associates 234 Deer Mountain Dr Harpers Ferry WV 25425-5490 Ph: (304) 876-1421 | Polonchak Educational Associates 129 E. German St. Shepherdstown WV 25443 Ph: (304) 876-3022 |
| NPI Number | 1720294226 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 06/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720294226 | NPI | - | NPPES |
| 1598984833 | Other | WV | NIP TYPE I |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | DP00940860 (West Virginia) | Primary |
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