Individual
DR. GEOFFREY M. ROVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., LPC
Contact information
Practice address
501 COLLIERS WAY, WEIRTON, WV 26062-5003
(304) 723-5440
(304) 723-0665
Mailing address
501 COLLIERS WAY, WEIRTON, WV 26062-5003
(304) 723-5440
(304) 723-0665
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1014
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005456001
—
WV
01
—
001718898
MSBCBS ID NUMBER
WV
01
—
2048781
CIGNA ID NUMBER
WV
01
—
243005
TRICARE ID NUMBER
WV
01
—
276730000
MAGELLAN MIS NUMBER
WV
01
—
Y141557
HEALTH PLAN ID NUMBER
WV
Enumeration date
12/06/2006
Last updated
05/26/2010
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