Healing Minds Clinic, Pllc

NPI 1023370434 - Psychologist - 103TC0700X

NPI Details
NPI 1023370434
Enumeration Date 06/12/2012
Last Updated 05/09/2014
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name AMY NICOLE AMY
Position LICENSED PSYCHOLOGIST
Phone (304) 842-6463
Fax (304) 842-8180
Practice Location
65 PROFESSIONAL PLACE
SUITE 101
BRIDGEPORT WV, 26330, US
Phone (304) 842-6463
Fax (304) 842-8180
Business Location
65 PROFESSIONAL PLACE
SUITE 101
BRIDGEPORT WV, 26330, US
Phone (304) 842-6463
Fax (304) 842-8180
Toxanomy
Taxonomy Code 103TC0700X
License State West Virginia
License Number 1038
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According to our database, Healing Minds Clinic, Pllc NPI is 1023370434, taxonomy code is 103TC0700X and license number is 1038, license state is located at West Virginia. Healing Minds Clinic, Pllc physically located at 65 Professional Place, Bridgeport WV, 26330. NPI Number 1033115704 has the healthcare provider type.

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1023370434 NPI number is provided on an as is basis without warranty of any kind. 1023370434 is maintained by the National Plan & Provider Enumeration System. The contents of Healing Minds Clinic, Pllc are for informational purposes only.