Individual
SUSANNAH G POE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506
(304) 598-4800
Mailing address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(304) 598-4800
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
849
WV
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
849
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9202154000
—
WV
Enumeration date
10/16/2006
Last updated
08/28/2018
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