Individual
SCOTT ANDREW SPAULDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA PSYCHOLOGIST
Contact information
Practice address
1116 SMITH ST, SUITE 207, CHARLESTON, WV 25301-1314
(888) 505-1862
(681) 265-9250
Mailing address
1116 SMITH ST, SUITE 207, CHARLESTON, WV 25301-1314
(888) 505-1862
(681) 265-9250
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
WV936
WV
103TC2200X
Clinical Child & Adolescent Psychologist
WV936
WV
103TF0000X
Family Psychologist
WV936
WV
Other
Enumeration date
11/09/2006
Last updated
08/30/2016
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