Individual
JOANN ADELAIDE THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2121 EOFF STREET, WHEELING, WV 26003
(304) 234-3570
(304) 234-3511
Mailing address
6 WOODLAWN COURT, WHEELING, WV 26003
(304) 232-8140
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
723
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001719063
BCBS
WV
05
—
0165198001
—
WV
Enumeration date
10/03/2006
Last updated
08/06/2008
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