| Potomac Valley Hospital Of W Va , Inc | |
|
139 Plaza Dr Keyser WV 26726-6015 | |
| (304) 597-3455 | |
| Not Available |
| Full Name | Potomac Valley Hospital Of W Va , Inc |
|---|---|
| Speciality | Psychologist |
| Location | 139 Plaza Dr, Keyser, West Virginia |
| Authorized Official Name and Position | Sue A Wells (SR DIR OF PROVIDER SERVICES) |
| Authorized Official Contact | 3045973525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Potomac Valley Hospital Of W Va , Inc 139 Plaza Dr Keyser WV 26726 Ph: () - | Potomac Valley Hospital Of W Va , Inc 139 Plaza Dr Keyser WV 26726-6015 Ph: (304) 597-3455 |
| NPI Number | 1497566970 |
|---|---|
| Provider Enumeration Date | 01/15/2025 |
| Last Update Date | 01/15/2025 |
| Certification Date | 01/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497566970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
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