Individual
DR. JANIS BOURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
644 WHITE AVE, MORGANTOWN, WV 26507
(304) 296-3040
Mailing address
PO BOX 834, MORGANTOWN, WV 26507-0834
(304) 296-3040
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
278
WV
Other
Enumeration date
12/15/2006
Last updated
07/16/2007
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