Individual
DIANE WOODRUM-LEUTHOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
1445 STEWARTSTOWN RD STE 200, MORGANTOWN, WV 26505-3868
(304) 598-2300
(304) 598-2307
Mailing address
1445 STEWARTSTOWN RD STE 200, MORGANTOWN, WV 26505-3868
(304) 598-2300
(304) 598-2307
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20046
WV
103TS0200X
School Psychologist
20046
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001713032
MT. STATE BC/BS
WV
05
—
0166166000
—
WV
Enumeration date
08/08/2006
Last updated
09/21/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us