Organization
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
Active
Parent organization
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
Authorized official
JUSTIN GIBSON (VP OF FINANCE)
(304) 598-4256
Entity
Organization
Contact information
Practice address
201 BAKERS RIDGE RD, MORGANTOWN, WV 26508-1500
(304) 598-4300
(304) 598-4677
Mailing address
PO BOX 780, MORGANTOWN, WV 26507-0780
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
—
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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