Individual
MS. AMY KAY GUTHRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LP
Contact information
Practice address
2121 7TH ST, PARKERSBURG, WV 26101-3803
(304) 485-1721
(304) 485-6710
Mailing address
1409 24TH ST, VIENNA, WV 26105-2367
(304) 422-1464
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
894
WV
103TB0200X
Cognitive & Behavioral Psychologist
894
WV
103TC0700X
Clinical Psychologist
894
WV
103TC1900X
Counseling Psychologist
894
WV
103TC2200X
Clinical Child & Adolescent Psychologist
894
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
894
PSYCHOLOGY LICENSE
WV
Enumeration date
02/27/2007
Last updated
03/14/2011
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