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Organization

PSYCHOLOGICAL RESOURCES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES EDWARD CAPAGE PH.D. (PRESIDENT)
(304) 599-1914
Entity
Organization

Contact information

Practice address
3606 COLLINS FERRY RD, SUITE 101, MORGANTOWN, WV 26505-2363
(304) 599-1914
(304) 599-1955
Mailing address
3606 COLLINS FERRY RD, SUITE 101, MORGANTOWN, WV 26505-2363
(304) 599-1914
(304) 599-1955

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
112
WV
103T00000X
Psychologist
507
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000571402
BCBS
WV
05
3810009613
WV
Enumeration date
08/21/2006
Last updated
05/01/2008
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