Individual
DONNA M MIDKIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
440 13TH AVE, HUNTINGTON, WV 25701-3134
(304) 544-3457
Mailing address
440 13TH AVE, HUNTINGTON, WV 25701-3134
(304) 544-3457
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
837
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001746720
MOUNTAIN STATE BC/BS
WV
05
—
9203069000
—
WV
Enumeration date
03/27/2006
Last updated
09/16/2010
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