| Primary Psychological Care Pllc | |
|
216 Maple Avenue Moorefield WV 26836 | |
| (304) 530-6748 | |
| Not Available |
| Full Name | Primary Psychological Care Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 216 Maple Avenue, Moorefield, West Virginia |
| Authorized Official Name and Position | Thomas C Stein (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3045306748 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Psychological Care Pllc Po Box 477 Moorefield WV 26836 Ph: (304) 530-6748 | Primary Psychological Care Pllc 216 Maple Avenue Moorefield WV 26836 Ph: (304) 530-6748 |
| NPI Number | 1609921261 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 06/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609921261 | NPI | - | NPPES |
| 001710748 | Other | WV | BCBS |
| 3810006083 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 234 (West Virginia) | Secondary |
| 103TC0700X | Psychologist - Clinical | 478 (West Virginia) | Primary |
Family Preservation Services Of West Virginia Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 N Main St, Moorefield, WV 26836 Phone: 304-538-2259 |