| West Virginia University Medical Corporation | |
|
61 Campus Dr Ste 200 Martinsburg WV 25404-7542 | |
| (304) 274-6343 | |
| (304) 596-5717 |
| Full Name | West Virginia University Medical Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 61 Campus Dr Ste 200, Martinsburg, West Virginia |
| Authorized Official Name and Position | Justin Gibson (VP, FINANCE) |
| Authorized Official Contact | 3045984256 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Virginia University Medical Corporation Po Box 780 Morgantown WV 26507-0780 Ph: (304) 285-7101 | West Virginia University Medical Corporation 61 Campus Dr Ste 200 Martinsburg WV 25404-7542 Ph: (304) 274-6343 |
| NPI Number | 1902654288 |
|---|---|
| Provider Enumeration Date | 05/10/2024 |
| Last Update Date | 05/10/2024 |
| Certification Date | 05/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902654288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
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