Individual
DR. AMY NICOLE HEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
65 PROFESSIONAL PLACE, SUITE 101, BRIDGEPORT, WV 26330
(304) 842-6463
(304) 842-8180
Mailing address
65 PROFESSIONAL PLACE, SUITE 101, BRIDGEPORT, WV 26330
(304) 842-6463
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1038
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810022680
—
WV
Enumeration date
11/06/2011
Last updated
04/17/2014
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