Organization
STANLEY PSYCHOLOGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PERRY GLENN STANLEY (OWNER)
(304) 559-3821
Entity
Organization
Contact information
Practice address
651 COLLIERS WAY, SUITE 412, WEIRTON, WV 26062-5053
(304) 559-3821
(304) 723-3426
Mailing address
651 COLLIERS WAY, SUITE 412, WEIRTON, WV 26062-5053
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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