Individual
DR. PRESTON DYER MODLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
635 CHURCH STREET, LEWISBURG, WV 24901
(304) 647-6470
(304) 647-6490
Mailing address
635 CHURCH STREET, LEWISBURG, WV 24901
(304) 647-6470
(304) 647-6490
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
L3T135100022
WV
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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