Individual
HOLLY A CLOONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3200 MACCORKLE AVE SE FL 5, CHARLESTON, WV 25304-1227
(304) 388-1000
(304) 388-1031
Mailing address
PO BOX 7000, MORGANTOWN, WV 26507-7000
(304) 347-1290
(304) 347-1397
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
445
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0163280000
—
WV
Enumeration date
09/02/2006
Last updated
11/11/2016
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