Organization
ASHLEY N. CAVENDER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY CAVENDER M.A. (LICENSED PSYCHOLOGIST)
(304) 546-2740
Entity
Organization
Contact information
Practice address
15 LANCE DR, CHARLESTON, WV 25311-1232
(304) 546-2740
Mailing address
PO BOX 18116, SOUTH CHARLESTON, WV 25303-8116
(304) 546-2740
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
03/09/2022
Last updated
07/05/2022
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