| River Valley Behavioral Health, Pllc | |
|
1100 9th St Suite C Vienna WV 26105-2176 | |
| (304) 580-0501 | |
| (304) 580-0503 |
| Full Name | River Valley Behavioral Health, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 1100 9th St, Vienna, West Virginia |
| Authorized Official Name and Position | Fred T Lee (CEO) |
| Authorized Official Contact | 3045800501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| River Valley Behavioral Health, Pllc 1100 9th St Suite C Vienna WV 26105-2176 Ph: (304) 580-0501 | River Valley Behavioral Health, Pllc 1100 9th St Suite C Vienna WV 26105-2176 Ph: (304) 580-0501 |
| NPI Number | 1801959291 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801959291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 179 (West Virginia) | Primary |
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