Organization
WEST VIRGINIA UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM FREMOUW (CLINICAL DIRECTOR)
(304) 293-2001
Entity
Organization
Contact information
Practice address
53 CAMPUS DRIVE, LIFE SCIENCES BUILDING, MORGANTOWN, WV 26506-6040
(304) 293-2001
Mailing address
53 CAMPUS DRIVE, PO BOX 6040, MORGANTOWN, WV 26506-6040
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
151
WV
Other
Enumeration date
10/20/2006
Last updated
08/22/2020
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