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Organization

PANHANDLE PSYCHOLOGICAL CENTER, P.L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. EMILY KRISTEN OSTERMAN M.S. (PSYCHOLOGIST/COUNSELOR)
(304) 886-5706
Entity
Organization

Contact information

Practice address
93 CRIMSON CIR, SUITE 11, MARTINSBURG, WV 25403-6397
(304) 886-5706
Mailing address
PO BOX 2567, MARTINSBURG, WV 25402-2567
(304) 886-5706

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1895
WV
101YP2500X
Professional Counselor
LC4395
MD
103TC0700X
Clinical Psychologist
Primary
1020
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810021052
WV
Enumeration date
09/19/2013
Last updated
09/19/2013
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