Organization
SPAULDING PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA D SPAULDING M.A. (OWNER)
(304) 861-5184
Entity
Organization
Contact information
Practice address
1809 DUPONT RD STE 3, PARKERSBURG, WV 26101-9704
(304) 861-5184
(304) 861-5187
Mailing address
123 CANTERBURY DR, PARKERSBURG, WV 26104-8057
(304) 861-5184
(304) 861-5187
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
017787
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001849704
BLUECROSSBLUESHIELD
WV
05
—
3810000741
—
WV
Enumeration date
08/01/2006
Last updated
12/06/2024
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