Organization
PSYCHOLOGICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES B. YEARGAN PH.D. (PRESIDENT)
(304) 255-0900
Entity
Organization
Contact information
Practice address
129 MAIN ST STE 608, BECKLEY, WV 25801-4670
(304) 255-0900
(304) 255-0900
Mailing address
129 MAIN ST STE 608, BECKLEY, WV 25801-4670
(304) 255-0900
(304) 255-0900
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
166
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0165176000
—
WV
Enumeration date
05/03/2007
Last updated
08/22/2020
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