| Spaulding Psychological Services | |
|
1809 Dupont Rd Ste 3 Parkersburg WV 26101-9704 | |
| (304) 861-5184 | |
| (304) 861-5187 |
| Full Name | Spaulding Psychological Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 1809 Dupont Rd Ste 3, Parkersburg, West Virginia |
| Authorized Official Name and Position | Cynthia D Spaulding (OWNER) |
| Authorized Official Contact | 3048615184 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spaulding Psychological Services 123 Canterbury Dr Parkersburg WV 26104-8057 Ph: (304) 861-5184 | Spaulding Psychological Services 1809 Dupont Rd Ste 3 Parkersburg WV 26101-9704 Ph: (304) 861-5184 |
| NPI Number | 1912913773 |
|---|---|
| Provider Enumeration Date | 08/01/2006 |
| Last Update Date | 12/06/2024 |
| Certification Date | 12/04/2024 |
| Medicare PECOS PAC ID | 9830196419 |
|---|---|
| Medicare Enrollment ID | O20061024000158 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912913773 | NPI | - | NPPES |
| 001849704 | Other | WV | BLUECROSSBLUESHIELD |
| 3810000741 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 017787 (West Virginia) | Primary |
| Provider Name | Cynthia D Spaulding |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1558378828 PECOS PAC ID: 4082610936 Enrollment ID: I20061017000083 |
| Provider Name | Amy K Guthrie |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1578699930 PECOS PAC ID: 4183719875 Enrollment ID: I20070926000547 |
| Provider Name | Patti June Archer Golden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871251579 PECOS PAC ID: 6305231044 Enrollment ID: I20220316002834 |
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