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Individual

MR. JOHN CARR TERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS

Contact information

Practice address
200 12TH STREET EXT, PRINCETON, WV 24740-2329
(304) 425-9541
Mailing address
200 12TH STREET EXT, PRINCETON, WV 24740-2329
(304) 425-9541

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
468
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0163306000
WV
Enumeration date
11/29/2005
Last updated
07/01/2026
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