| Stillwater Llc | |
|
933 Cheat Rd Morgantown WV 26508-5631 | |
| (304) 216-7779 | |
| Not Available |
| Full Name | Stillwater Llc |
|---|---|
| Speciality | Counselor |
| Location | 933 Cheat Rd, Morgantown, West Virginia |
| Authorized Official Name and Position | Christine Knight (OFFICE MANAGER) |
| Authorized Official Contact | 3045542292 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stillwater Llc 933 Cheat Rd Morgantown WV 26508-5631 Ph: (304) 554-2292 | Stillwater Llc 933 Cheat Rd Morgantown WV 26508-5631 Ph: (304) 216-7779 |
| NPI Number | 1124647193 |
|---|---|
| Provider Enumeration Date | 04/10/2020 |
| Last Update Date | 08/19/2020 |
| Certification Date | 08/19/2020 |
| Medicare PECOS PAC ID | 4587089305 |
|---|---|
| Medicare Enrollment ID | O20200810003249 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124647193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Alfred Kasprowicz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225104177 PECOS PAC ID: 8820022932 Enrollment ID: I20081010000002 |
| Provider Name | Matthew C Kellar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285058453 PECOS PAC ID: 3971736919 Enrollment ID: I20140429000746 |
| Provider Name | Teresa B Stire |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609222348 PECOS PAC ID: 6507144284 Enrollment ID: I20161101000352 |
| Provider Name | Narayan Gold |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578181533 PECOS PAC ID: 9931577707 Enrollment ID: I20221129001174 |
| Provider Name | Paul Jerome Robrecht |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851806178 PECOS PAC ID: 7810342755 Enrollment ID: I20231012000370 |
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