Individual
COREY PAUL ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
2101 JACOB ST, WHEELING, WV 26003-3800
(304) 234-8517
(304) 234-8745
Mailing address
2101 JACOB ST, WHEELING, WV 26003-3800
(304) 234-8517
(304) 234-8745
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
212
WV
103TC2200X
Clinical Child & Adolescent Psychologist
212
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0165104000
—
WV
05
—
2585653
—
OH
Enumeration date
08/24/2006
Last updated
09/11/2025
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