Organization
PRIMARY PSYCHOLOGICAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS C STEIN EDD (CLINICAL DIRECTOR)
(304) 530-6748
Entity
Organization
Contact information
Practice address
216 MAPLE AVENUE, MOOREFIELD, WV 26836
(304) 530-6748
Mailing address
PO BOX 477, MOOREFIELD, WV 26836
(304) 530-6748
(304) 530-3737
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
234
WV
103TC0700X
Clinical Psychologist
Primary
478
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001710748
BCBS
WV
05
—
3810006083
—
WV
Enumeration date
01/24/2007
Last updated
06/20/2008
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