Organization
LAUREL MOUNTAIN PSYCHOLOGICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE RICHMOND (OWNER)
(304) 952-1193
Entity
Organization
Contact information
Practice address
219 BROOKSHIRE LN, BECKLEY, WV 25801-6729
(304) 952-1193
Mailing address
219 BROOKSHIRE LN, BECKLEY, WV 25801-6729
(304) 952-1193
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
968
WV
Other
Enumeration date
12/23/2013
Last updated
12/23/2013
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