Individual
LISA K BLOSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGIST
Contact information
Practice address
7000 HAMPTON CTR STE H, MORGANTOWN, WV 26505-0645
(304) 405-6810
Mailing address
7000 HAMPTON CTR STE H, MORGANTOWN, WV 26505-0645
(304) 405-6810
(304) 599-2705
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
966
WV
Other
Enumeration date
04/07/2008
Last updated
03/29/2023
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