| Psyscape Pllc | |
|
201 6th Ave Saint Albans WV 25177-2836 | |
| (304) 552-9832 | |
| (866) 212-0708 |
| Full Name | Psyscape Pllc |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 201 6th Ave, Saint Albans, West Virginia |
| Authorized Official Name and Position | Ernie L. Vecchio (PSYCHOLOGIST) |
| Authorized Official Contact | 3045529832 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psyscape Pllc 447 Poplar Fork Rd Scott Depot WV 25560-9788 Ph: (304) 552-9832 | Psyscape Pllc 201 6th Ave Saint Albans WV 25177-2836 Ph: (304) 552-9832 |
| NPI Number | 1578786174 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 06/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578786174 | NPI | - | NPPES |
| 0164492000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 647 (West Virginia) | Primary |
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