Organization
MARI SULLIVAN WALKER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARI SULLIVAN WALKER LICENSED PSYCHOLOGIS (CEO)
(304) 732-9132
Entity
Organization
Contact information
Practice address
RT#10 MAIN STREET, PINEVILLE, WV 24874-0123
(304) 732-9132
(304) 732-6589
Mailing address
RT#10 MAIN STREET P.O. BOX 123, PINEVILLE, WV 24874-0123
(304) 732-9132
(304) 732-6589
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
203
WV
103TB0200X
Cognitive & Behavioral Psychologist
203
WV
103TC1900X
Counseling Psychologist
Primary
203
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0165341000
—
WV
01
—
LICENSE # 203
PSYCHOLOGIST LICENSE
WV
Enumeration date
09/16/2006
Last updated
09/11/2025
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