Individual
DR. BRIAN AUGUST CREASY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2004 PROFESSIONAL CT, MARTINSBURG, WV 25401-8808
(304) 596-5780
(304) 596-5871
Mailing address
2004 PROFESSIONAL CT, MARTINSBURG, WV 25401-8808
(304) 596-5780
(304) 596-5871
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1123
WV
103TC0700X
Clinical Psychologist
36616
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810030132
—
WV
Enumeration date
09/10/2012
Last updated
04/07/2022
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