| Ronald D. Pearse,edd | |
|
1314 Locust Ave. Fairmont WV 26554 | |
| (304) 367-0232 | |
| (304) 367-0233 |
| Full Name | Ronald D. Pearse,edd |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1314 Locust Ave., Fairmont, West Virginia |
| Authorized Official Name and Position | Ronald D. Pearse (PSYCHOLOGIST) |
| Authorized Official Contact | 3043679232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald D. Pearse,edd 1314 Locust Ave. Fairmont WV 26554 Ph: (304) 367-0232 | Ronald D. Pearse,edd 1314 Locust Ave. Fairmont WV 26554 Ph: (304) 367-0232 |
| NPI Number | 1245321298 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245321298 | NPI | - | NPPES |
| 3810000125 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 20 (West Virginia) | Primary |
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