Individual
MARILYN NEYER BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2121 EOFF ST, WHEELING, WV 26003-3805
(304) 234-3570
(304) 234-3511
Mailing address
52171 BLAINE-BARTON ROAD ROUTE 10, PO BOX 655, BARTON, OH 43905-0655
(740) 695-1459
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
4940
OH
103T00000X
Psychologist
Primary
751
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001719064
BCBS
WV
05
—
0300016000
—
WV
Enumeration date
09/06/2006
Last updated
08/06/2008
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