| Damous Psychological Services Pllc | |
|
218 D St South Charleston WV 25303-3104 | |
| (304) 720-3835 | |
| Not Available |
| Full Name | Damous Psychological Services Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 218 D St, South Charleston, West Virginia |
| Authorized Official Name and Position | George Michael Damous (LICENSED PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 3047203835 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Damous Psychological Services Pllc 218 D St South Charleston WV 25303-3104 Ph: (304) 720-3835 | Damous Psychological Services Pllc 218 D St South Charleston WV 25303-3104 Ph: (304) 720-3835 |
| NPI Number | 1710306568 |
|---|---|
| Provider Enumeration Date | 04/09/2014 |
| Last Update Date | 04/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710306568 | NPI | - | NPPES |
| 3810000195 | Medicaid | WV | |
| 3810009212 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 748 (West Virginia) | Primary |
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