| The Center For Pediatric Neuropsychology & Behavioral Health, Pllc | |
|
910 4th Ave Suite 302 Huntington WV 25701-1437 | |
| (304) 412-1637 | |
| Not Available |
| Full Name | The Center For Pediatric Neuropsychology & Behavioral Health, Pllc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 910 4th Ave, Huntington, West Virginia |
| Authorized Official Name and Position | Thomas David Linz (MEMBER) |
| Authorized Official Contact | 3044121637 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Center For Pediatric Neuropsychology & Behavioral Health, Pllc Po Box 2333 Huntington WV 25724-2333 Ph: (304) 412-1637 | The Center For Pediatric Neuropsychology & Behavioral Health, Pllc 910 4th Ave Suite 302 Huntington WV 25701-1437 Ph: (304) 412-1637 |
| NPI Number | 1497906663 |
|---|---|
| Provider Enumeration Date | 10/07/2008 |
| Last Update Date | 10/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497906663 | NPI | - | NPPES |
| 0163829000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 550 (West Virginia) | Primary |
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