Organization
GR&W, INC
Active
Other names
GR&W Harmony, ROOTS
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN J WAKIM MD (AUTHORIZED OFFICIAL)
(304) 280-7337
Entity
Organization
Contact information
Practice address
1005 WHITE WILLOW WAY, MORGANTOWN, WV 26505-6119
(304) 460-5123
(800) 734-8498
Mailing address
1005 WHITE WILLOW WAY, MORGANTOWN, WV 26505-6119
(304) 460-5123
(800) 734-8498
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
12/31/2012
Last updated
04/04/2023
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