| Philip E Sundstrom, MA,LIC PSYCHOLOGIS | |
|
209 W Maple Ave, Fayetteville, WV 25840-1413 | |
| (304) 574-2100 | |
| (304) 574-2151 |
| Full Name | Philip E Sundstrom |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 209 W Maple Ave, Fayetteville, West Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750594115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 257 (West Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Philip E Sundstrom, MA,LIC PSYCHOLOGIS 209 W Maple Ave, Fayetteville, WV 25840-1413 Ph: (304) 574-2100 | Philip E Sundstrom, MA,LIC PSYCHOLOGIS 209 W Maple Ave, Fayetteville, WV 25840-1413 Ph: (304) 574-2100 |
Edward Lee Winter, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 111 Fayette Ave., Fayette County Schools, Fayetteville, WV 25840 Phone: 304-574-1176 Fax: 304-574-3643 | |
Neely Snead Harvey, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 111 Fayette Ave, Fayetteville, WV 25840 Phone: 304-574-1176 | |
Stephanie Jill Daniel, MS Psychologist Medicare: Accepting Medicare Assignments Practice Location: 209 W Maple Ave, Fayetteville, WV 25840 Phone: 304-574-2100 Fax: 304-574-2151 | |
Mrs. Rebecca Rae Stone, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 209 W Maple Ave, Fayetteville, WV 25840 Phone: 304-574-2100 | |
David Gene Sweet, ED. S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 111 Fayette Ave, Fayetteville, WV 25840 Phone: 304-574-1176 | |
Bobbie Mae Mcclung, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 111 Fayette Ave, Fayette County Schools, Fayetteville, WV 25840 Phone: 304-574-1176 Fax: 304-574-3643 | |
Barbara Jean Ann Jordan, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 111 Fayette Ave, Fayetteville, WV 25840 Phone: 304-574-1176 Fax: 304-574-4108 |