Individual
MS. ELIZABETH A DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
3983 TEAYS VALLEY RD, MT. VERNON PLAZA SUITE 101, HURRICANE, WV 25526-8863
(304) 757-7800
Mailing address
PO BOX 11928, CHARLESTON, WV 25339-1928
(304) 757-7800
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
791
WV
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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