Organization
PRINCETON PSYCHOLOGICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JO CECIL MA (OWNER)
(304) 308-3819
Entity
Organization
Contact information
Practice address
321 ROGERS ST, PRINCETON, WV 24740-3639
(304) 308-3819
Mailing address
PO BOX 5509, PRINCETON, WV 24740-5509
(304) 308-3819
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063067882
—
WV
Enumeration date
08/18/2020
Last updated
08/19/2020
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