Individual
MRS. STEPHANIE KELLY FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DEL,MA.,LIC. PSYCH.
Contact information
Practice address
1305 WEBSTER RD, SUMMERSVILLE, WV 26651-1125
(304) 872-6503
(304) 872-5415
Mailing address
1305 WEBSTER RD, SUMMERSVILLE, WV 26651-1125
(304) 872-6503
(304) 872-5415
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
793
WV
Other
Enumeration date
05/08/2007
Last updated
03/11/2014
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