Organization
ASPIRE OCCUPATIONAL REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY WHITE (CREDENTIALING SPECIALIST)
(304) 688-7027
Entity
Organization
Contact information
Practice address
440 MAIN STREET, CHAPMANVILLE, WV 25508-4303
(304) 855-5886
(304) 855-5889
Mailing address
PO BOX 4303, CHAPMANVILLE, WV 25508-4303
(304) 855-5886
(304) 855-5889
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
799
WV
103TB0200X
Cognitive & Behavioral Psychologist
799
WV
103TC0700X
Clinical Psychologist
Primary
799
WV
103TC2200X
Clinical Child & Adolescent Psychologist
799
WV
103TM1800X
Intellectual & Developmental Disabilities Psychologist
799
WV
103TP2701X
Group Psychotherapy Psychologist
799
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810001198
—
WV
Enumeration date
03/14/2013
Last updated
12/23/2025
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