Organization
COGNITIVE MEDICINE PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD O AJAYI MD (OWNER)
(304) 797-6410
Entity
Organization
Contact information
Practice address
310 AMERICAN WAY STE A, WEIRTON, WV 26062-4083
(304) 797-6410
(740) 797-6320
Mailing address
PO BOX 6230, WHEELING, WV 26003-0722
(304) 242-7106
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20859
WV
Other
Enumeration date
02/23/2011
Last updated
10/13/2022
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