Individual
BARRY J. FODOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2203 NATIONAL RD, WHEELING, WV 26003-5203
(304) 243-0300
(304) 243-0328
Mailing address
2203 NATIONAL RD, WHEELING, WV 26003-5203
(304) 243-0300
(304) 243-0328
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
4674
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0165854000
—
WV
Enumeration date
12/06/2007
Last updated
12/06/2007
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