Individual
C DAVID BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
179 SUMMERS ST, CHARLESTON, WV 25301-2163
(304) 342-8300
(304) 342-8311
Mailing address
179 SUMMERS ST STE 710, CHARLESTON, WV 25301-2122
(304) 342-8300
(304) 342-8311
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
514
WV
103TC0700X
Clinical Psychologist
514
WV
103TF0200X
Forensic Psychologist
514
WV
103TH0100X
Health Service Psychologist
Primary
514
WV
Other
Enumeration date
05/26/2006
Last updated
11/16/2025
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