Individual
ALLISSA CAUDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 20TH ST, SUITE 205, HUNTINGTON, WV 25703-2071
(304) 691-1500
Mailing address
1115 20TH ST, SUITE 205, HUNTINGTON, WV 25703-2071
(304) 691-1500
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1141
WV
103T00000X
Psychologist
129215
KY
Other
Enumeration date
07/11/2011
Last updated
03/23/2023
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