| Psych Services Of Roane County | |
|
141 Main St Spencer WV 25276-1414 | |
| (304) 927-5262 | |
| (304) 927-0378 |
| Full Name | Psych Services Of Roane County |
|---|---|
| Speciality | Psychologist |
| Location | 141 Main St, Spencer, West Virginia |
| Authorized Official Name and Position | Sherri Copley (OFFICE MANAGER) |
| Authorized Official Contact | 3049275262 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psych Services Of Roane County 141 Main St Spencer WV 25276-1414 Ph: (304) 927-5262 | Psych Services Of Roane County 141 Main St Spencer WV 25276-1414 Ph: (304) 927-5262 |
| NPI Number | 1417089897 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3971645060 |
|---|---|
| Medicare Enrollment ID | O20100128000058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417089897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 308 (West Virginia) | Primary |
| Provider Name | Janice L Blake |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184770067 PECOS PAC ID: 3678471372 Enrollment ID: I20100128000049 |
Psych Services Associates, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 141 Main St, Spencer, WV 25276 Phone: 304-927-5262 Fax: 304-927-0378 |