Organization
CHAMELEON HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL MORRELLO MS (PRESIDENT)
(304) 872-8995
Entity
Organization
Contact information
Practice address
846 NORTHSIDE DRIVE, SUITE 15, SUMMERSVILLE, WV 26651-2028
(304) 872-8995
(304) 872-8997
Mailing address
846 NORTHSIDE DRIVE, SUITE 15, SUMMERSVILLE, WV 26651-2028
(304) 872-8995
(304) 872-8997
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
683
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001715098
MOUNTAIN STATE BCBS
WV
05
—
0164780000
—
WV
Enumeration date
10/18/2006
Last updated
12/16/2013
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