Organization
MOUNTAIN STATE PSYCHOLOGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH K BURKE (DIRECTOR OF OPERATIONS)
(304) 788-1113
Entity
Organization
Contact information
Practice address
130 CENTER ST, KEYSER, WV 26726-3520
(304) 788-1113
(304) 788-2777
Mailing address
130 CENTER ST, KEYSER, WV 26726-3520
(304) 788-1113
(304) 788-2777
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810006086
—
WV
Enumeration date
11/06/2006
Last updated
09/11/2025
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