Individual
THERESA EVANOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
418 COBUN CREEK RD, MORGANTOWN, WV 26508-3832
(304) 614-4323
Mailing address
418 COBUN CREEK RD, MORGANTOWN, WV 26508-3832
(304) 614-4323
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1244
WV
103TC0700X
Clinical Psychologist
1244
WV
Other
Enumeration date
01/23/2020
Last updated
09/26/2024
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