Individual
DR. CHARLES B YEARGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
129 MAIN ST, RM. 608, BECKLEY, WV 25801-4615
(304) 255-0900
(304) 255-0900
Mailing address
129 MAIN ST, RM. 608, BECKLEY, WV 25801-4615
(304) 255-0900
(304) 255-0900
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
166
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0165176000
—
WV
Enumeration date
11/01/2006
Last updated
07/08/2007
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