Organization
SHARON G MCMILLEN M A PSYCHOLOTIST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON G MCMILLEN M.A. (PSYCHOLOGIST OWNER)
(304) 329-2300
Entity
Organization
Contact information
Practice address
125 E HIGH ST, KINGWOOD, WV 26537-1444
(304) 329-2300
(304) 329-2551
Mailing address
125 E HIGH ST, KINGWOOD, WV 26537-1444
(304) 329-2300
(304) 329-2551
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
538
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0164758000
—
WV
Enumeration date
01/31/2007
Last updated
07/11/2007
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