Organization
PSIMED, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRENCE EUGENE RUSIN (PRESIDENT/CEO)
(304) 344-8515
Entity
Organization
Contact information
Practice address
3040 UNIVERSITY AVE, MORGANTOWN, WV 26505-3380
(301) 212-5526
(212) 241-5162
Mailing address
PO BOX 7310, CHARLESTON, WV 25356-0310
(304) 344-8515
(304) 344-8519
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
23697
WV
Other
Enumeration date
11/28/2012
Last updated
11/28/2012
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