| South Branch Psychology Group, Pllc | |
|
15 Grant St Unit 4 Petersburg WV 26847-1688 | |
| (304) 257-2485 | |
| Not Available |
| Full Name | South Branch Psychology Group, Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 15 Grant St Unit 4, Petersburg, West Virginia |
| Authorized Official Name and Position | Kimberly Morton (OWNER) |
| Authorized Official Contact | 2134106078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Branch Psychology Group, Pllc Po Box 392 Petersburg WV 26847-0392 Ph: (304) 257-2485 | South Branch Psychology Group, Pllc 15 Grant St Unit 4 Petersburg WV 26847-1688 Ph: (304) 257-2485 |
| NPI Number | 1396630752 |
|---|---|
| Provider Enumeration Date | 06/09/2025 |
| Last Update Date | 06/30/2025 |
| Certification Date | 06/30/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396630752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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