Williamson Psychiatric Services

NPI 1043566854 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1043566854
Enumeration Date 07/30/2012
Last Updated 07/30/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name SHIVKUMAR LAKSHMINARAYAN SHIVKUMAR
Position OWNER/PROVIDER
Phone (304) 235-5556
Fax (304) 235-5557
Practice Location
215 LOGAN ST
SUITE 21
WILLIAMSON WV, 25661-3600, US
Phone (304) 235-5556
Fax (304) 235-5557
Business Location
215 LOGAN ST
SUITE 21
WILLIAMSON WV, 25661-3600, US
Phone (304) 235-5556
Fax (304) 235-5557
Toxanomy
Taxonomy Code 2084P0800X
License State West Virginia
License Number 18736
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According to our database, Williamson Psychiatric Services NPI is 1043566854, taxonomy code is 2084P0800X and license number is 18736, license state is located at West Virginia. Williamson Psychiatric Services physically located at 215 Logan St, Williamson WV, 25661-3600. NPI Number 1033115704 has the healthcare provider type.

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1043566854 NPI number is provided on an as is basis without warranty of any kind. 1043566854 is maintained by the National Plan & Provider Enumeration System. The contents of Williamson Psychiatric Services are for informational purposes only.