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1 Dunbar Plz Ste 100a Dunbar WV 25064-3038 | |
| (304) 346-9586 | |
| (304) 344-2169 |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 1 Dunbar Plz Ste 100a, Dunbar, West Virginia |
| Authorized Official Name and Position | Laura Marie White (WV DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 3049926153 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
10304 Spotsylvania Ave Ste 300 Fredericksburg VA 22408-8605 Ph: (304) 346-9586 | 1 Dunbar Plz Ste 100a Dunbar WV 25064-3038 Ph: (304) 346-9586 |
| NPI Number | 1356475412 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 07/10/2024 |
| Certification Date | 07/10/2024 |
| Medicare PECOS PAC ID | 7911448188 |
|---|---|
| Medicare Enrollment ID | O20240916003166 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356475412 | NPI | - | NPPES |
| 70365 | Other | WV | UMWA |
| 0005412001 | Medicaid | WV | |
| 001710371 | Other | WV | MT STATE BCBS |
| 0163911000 | Medicaid | WV | |
| 0005412000 | Medicaid | WV | |
| 0005412003 | Medicaid | WV | |
| 490712 | Other | WV | AETNA VALUE OPTIONS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 566 (West Virginia) | Primary |
| Provider Name | Richard S Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124356035 PECOS PAC ID: 8820520836 Enrollment ID: I20241016000098 |
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