Psychiatric Associates | |
1160 Johnson Ave Ste 105 Bridgeport WV 26330 | |
(304) 842-9084 | |
(304) 842-9085 |
Full Name | Psychiatric Associates |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1160 Johnson Ave, Bridgeport, West Virginia |
Authorized Official Name and Position | David Forrest Colvin (PARTNER) |
Authorized Official Contact | 3048429084 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Psychiatric Associates 1160 Johnson Ave Ste 105 Bridgeport WV 26330 Ph: (304) 842-9084 | Psychiatric Associates 1160 Johnson Ave Ste 105 Bridgeport WV 26330 Ph: (304) 842-9084 |
NPI Number | 1790863744 |
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Provider Enumeration Date | 11/01/2006 |
Last Update Date | 03/20/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790863744 | NPI | - | NPPES |
0009741000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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