Dr Liam Patrick Condon, PHD | |
65 Professional Pl Ste 102103, Bridgeport, WV 26330-0258 | |
(304) 848-5770 | |
(304) 848-0890 |
Full Name | Dr Liam Patrick Condon |
---|---|
Gender | Male |
Speciality | Psychologist |
Location | 65 Professional Pl Ste 102103, Bridgeport, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770080186 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 1188 (West Virginia) | Primary |
Entity Name | Community Care Of West Virginia, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073944658 PECOS PAC ID: 0446232987 Enrollment ID: O20140320000490 |
Entity Name | Community Care Of West Virginia, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619348844 PECOS PAC ID: 0446232987 Enrollment ID: O20160310000180 |
Entity Name | Community Care Of West Virginia, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619464369 PECOS PAC ID: 0446232987 Enrollment ID: O20180808001012 |
Entity Name | Community Care Of West Virginia, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144811290 PECOS PAC ID: 0446232987 Enrollment ID: O20210331002097 |
Entity Name | Community Care Of West Virginia Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275271611 PECOS PAC ID: 0648189258 Enrollment ID: O20230615000337 |
Mailing Address | Practice Location Address |
---|---|
Dr Liam Patrick Condon, PHD 65 Professional Pl Ste 102103, Bridgeport, WV 26330-0258 Ph: (304) 848-5770 | Dr Liam Patrick Condon, PHD 65 Professional Pl Ste 102103, Bridgeport, WV 26330-0258 Ph: (304) 848-5770 |
Rodney R Mccullough, MA Psychologist Medicare: Medicare Enrolled Practice Location: 170 Thompson Dr, Suite 103, Bridgeport, WV 26330 Phone: 304-842-6609 | |
Ms. Narine Karakashian, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 114 Ventura Dr, Bridgeport, WV 26330 Phone: 302-399-8325 | |
Mr. Robert Victor Leydon, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 141 State St, Bridgeport, WV 26330 Phone: 304-842-6609 Fax: 304-842-6619 | |
Mary Kristi Williams, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 231 Davis St, Bridgeport, WV 26330 Phone: 304-842-0044 Fax: 304-842-0033 | |
Dr. Amy Nicole Hebb, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 65 Professional Place, Suite 101, Bridgeport, WV 26330 Phone: 304-842-6463 Fax: 304-842-8180 | |
Jeffery S Collins, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 917 W Main St, Suite 203, Bridgeport, WV 26330 Phone: 304-842-7007 Fax: 304-842-7099 | |
Michelle Lee Wetzel, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 917 W Main St, Suite 203, Bridgeport, WV 26330 Phone: 304-842-7007 Fax: 304-842-7099 |