Williamson Psychiatric Services | |
215 Logan St Suite 21 Williamson WV 25661-3600 | |
(304) 235-5556 | |
(304) 235-5557 |
Full Name | Williamson Psychiatric Services |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 215 Logan St, Williamson, West Virginia |
Authorized Official Name and Position | Shivkumar Lakshminarayan Iyer (OWNER/PROVIDER) |
Authorized Official Contact | 3042355556 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Williamson Psychiatric Services 215 Logan St Suite 21 Williamson WV 25661-3600 Ph: (304) 235-5556 | Williamson Psychiatric Services 215 Logan St Suite 21 Williamson WV 25661-3600 Ph: (304) 235-5556 |
NPI Number | 1043566854 |
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Provider Enumeration Date | 07/30/2012 |
Last Update Date | 07/30/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043566854 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 18736 (West Virginia) | Primary |
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