Organization
NEUROPSYCHOLOGY GROUP OF WEST VIRGINIA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA E CAREY PHD (PARTNER)
(304) 554-0504
Entity
Organization
Contact information
Practice address
9000 COOMBS FARM DRIVE, SUITE 202, MORGANTOWN, WV 26508
(304) 554-0504
(304) 554-0505
Mailing address
9000 COOMBS FARM DRIVE, SUITE 202, MORGANTOWN, WV 26508
(304) 554-0504
(304) 554-0505
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3910007046
—
WV
Enumeration date
05/26/2015
Last updated
11/23/2015
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