Organization
SOUTH BRANCH PSYCHOLOGY GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY MORTON (OWNER)
(213) 410-6078
Entity
Organization
Contact information
Practice address
15 GRANT ST UNIT 4, PETERSBURG, WV 26847-1688
(304) 257-2485
Mailing address
PO BOX 392, PETERSBURG, WV 26847-0392
(304) 257-2485
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
06/09/2025
Last updated
06/30/2025
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