Individual
DR. AMY WILSON STRANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
107 SOUTH STREETCAR WAY, LOST CREEK, WV 26385-0490
(304) 745-5065
(304) 745-5067
Mailing address
PO BOX 490, 107 SOUTH STREETCAR WAY, LOST CREEK, WV 26385-0490
(304) 745-5065
(304) 745-5067
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
858
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9205097001
—
WV
Enumeration date
11/08/2006
Last updated
07/08/2007
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