Individual
DR. JAMES SCOTT MIZES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
235 HIGH ST, SUITE 608, MORGANTOWN, WV 26505-5429
(304) 413-4728
(304) 581-3201
Mailing address
44 MCKINLEY ST, MORGANTOWN, WV 26501-4265
(304) 685-6062
(304) 581-3201
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
763
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9202017000
—
WV
Enumeration date
02/13/2006
Last updated
06/04/2015
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