Organization
THE CENTER FOR PEDIATRIC NEUROPSYCHOLOGY & BEHAVIORAL HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS DAVID LINZ PHD (MEMBER)
(304) 412-1637
Entity
Organization
Contact information
Practice address
910 4TH AVE, SUITE 302, HUNTINGTON, WV 25701-1437
(304) 412-1637
Mailing address
PO BOX 2333, HUNTINGTON, WV 25724-2333
(304) 412-1637
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
550
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0163829000
—
WV
Enumeration date
10/07/2008
Last updated
10/07/2008
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