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Individual

DR. LOLA RUTH WEIR

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
800 PENNSYLVANIA AVE, FAMILY RESOURCE CENTER WOMEN & CHILDRENS HOSPITAL, CHARLESTON, WV 25302
(304) 388-2545
(304) 388-2781
Mailing address
800 PENNSYLVANIA AVE, FAMILY RESOURCE CENTER WOMEN & CHILDRENS HOSPITAL, CHARLESTON, WV 25302
(304) 388-2545
(304) 388-2781

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
681
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0164835000
WV
Enumeration date
05/10/2006
Last updated
07/08/2007
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