Individual
DR. ALFRED LUDWIG KASPROWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
930 CHESTNUT RIDGE RD, MORGANTOWN, WV 26505-2807
(304) 216-7779
Mailing address
117 N PRICE ST, KINGWOOD, WV 26537-1118
(304) 216-7779
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
2503-057
WI
103TC0700X
Clinical Psychologist
Primary
640
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0164483000
—
WV
Enumeration date
11/24/2006
Last updated
04/15/2020
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