Individual
RAYMOND K DIPINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
501 MORRIS ST, CHARLESTON, WV 25301-1326
(304) 341-1500
(304) 341-1570
Mailing address
PO BOX 7000, MORGANTOWN, WV 26507-7000
(304) 347-1290
(304) 347-1397
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
801
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9201082000
—
WV
Enumeration date
09/02/2006
Last updated
07/08/2007
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