Individual
SHIRLEY DEMPSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 KANAWHA BLVD E, CHARLESTON, WV 25305-0009
(304) 558-2696
Mailing address
1900 KANAWHA BLVD E, CHARLESTON, WV 25305-0009
(304) 558-2696
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
10076
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0166496000
—
WV
Enumeration date
03/17/2008
Last updated
03/17/2008
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