Adult And Youth Services, P.l.l.c. | |
1200 Harrison Ave. Suite 121 Elkins WV 26241-3392 | |
(304) 636-4200 | |
(304) 636-4200 |
Full Name | Adult And Youth Services, P.l.l.c. |
---|---|
Speciality | Psychologist |
Location | 1200 Harrison Ave., Elkins, West Virginia |
Authorized Official Name and Position | Dana A Nugent (OWNER/PSYCHOLOGIST) |
Authorized Official Contact | 3042578232 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Adult And Youth Services, P.l.l.c. Po Box 44 Davis WV 26260-0044 Ph: (304) 257-8232 | Adult And Youth Services, P.l.l.c. 1200 Harrison Ave. Suite 121 Elkins WV 26241-3392 Ph: (304) 636-4200 |
NPI Number | 1730574013 |
---|---|
Provider Enumeration Date | 04/02/2015 |
Last Update Date | 04/02/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730574013 | NPI | - | NPPES |
3810017759 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 2304-8074 (West Virginia) | Primary |
103TC0700X | Psychologist - Clinical | 999 (West Virginia) | Secondary |
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