Individual
MR. JOHN CARR TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
2869 SENECA TRL S, PETERSTOWN, WV 24963-5037
(304) 431-3010
(304) 431-3011
Mailing address
PO BOX 590, UNION, WV 24983-0590
(304) 431-3010
(304) 431-3011
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
01/29/2025
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