| Psychological Consulting Inc | |
|
431 S Raleigh Street Martinsburg WV 25401 | |
| (304) 263-9095 | |
| (304) 263-9097 |
| Full Name | Psychological Consulting Inc |
|---|---|
| Speciality | Psychologist |
| Location | 431 S Raleigh Street, Martinsburg, West Virginia |
| Authorized Official Name and Position | Harold D Slaughter (PSYCHOLOGIST OWNER) |
| Authorized Official Contact | 3042639095 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Consulting Inc 431 S Raleigh Street Martinsburg WV 25401 Ph: (304) 263-9095 | Psychological Consulting Inc 431 S Raleigh Street Martinsburg WV 25401 Ph: (304) 263-9095 |
| NPI Number | 1780787358 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9335285055 |
|---|---|
| Medicare Enrollment ID | O20091012000164 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780787358 | NPI | - | NPPES |
| SL4116841 | Other | WV | MEDICARE |
| 0165399000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 1229 (West Virginia) | Primary |
| 103T00000X | Psychologist | 202 (West Virginia) | Primary |
| 103TS0200X | Psychologist - School | 220004 (West Virginia) | Primary |
| Provider Name | Michael L Mcdaniel |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1043242118 PECOS PAC ID: 3072563584 Enrollment ID: I20050124000047 |
| Provider Name | Harold D Slaughter |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1255410247 PECOS PAC ID: 5496709222 Enrollment ID: I20050304000232 |
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