Organization
DAMOUS PSYCHOLOGICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE MICHAEL DAMOUS MA (LICENSED PSYCHOLOGIST/OWNER)
(304) 720-3835
Entity
Organization
Contact information
Practice address
218 D ST, SOUTH CHARLESTON, WV 25303-3104
(304) 720-3835
Mailing address
218 D ST, SOUTH CHARLESTON, WV 25303-3104
(304) 720-3835
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
748
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810000195
—
WV
05
—
3810009212
—
WV
Enumeration date
04/09/2014
Last updated
04/09/2014
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