Mr Larry Jackson Legg, MA - Psychologist in Summersville, WV

Mr Larry Jackson Legg, MA is a Psychologist - Clinical based in Summersville, West Virginia. Mr Larry Jackson Legg is licensed to practice in West Virginia (license number 630) and his current practice location is 702 Professional Park Dr, Ste 106, Summersville, West Virginia. He can be reached at his office (for appointments etc.) via phone at (304) 883-2380.

NPI number for Mr Larry Jackson Legg is 1366571499 and his current mailing address is 3883 Farmdale Rd, Meadow Bridge, West Virginia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366571499.

Contact Information

Mr Larry Jackson Legg, MA
702 Professional Park Dr, Ste 106,
Summersville, WV 26651-2033
(304) 883-2380
(304) 883-2383

Map and Direction




Healthcare Provider's Profile

Full NameMr Larry Jackson Legg
GenderMale
SpecialityPsychologist - Clinical
Location702 Professional Park Dr, Summersville, West Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1366571499
  • Provider Enumeration Date: 03/05/2007
  • Last Update Date: 01/27/2017

Medical Identifiers

Medical identifiers for Mr Larry Jackson Legg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366571499NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 630 (West Virginia)Primary
103TC1900XPsychologist - Counseling 630 (West Virginia)Secondary
103TC2200XPsychologist - Clinical Child & Adolescent 630 (West Virginia)Secondary
103TM1800XPsychologist - Intellectual & Developmental Disabilities 630 (West Virginia)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Larry Jackson Legg is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Larry Jackson Legg, MA
3883 Farmdale Rd,
Meadow Bridge, WV 25976-7035

Ph: (304) 661-2742
Mr Larry Jackson Legg, MA
702 Professional Park Dr, Ste 106,
Summersville, WV 26651-2033

Ph: (304) 883-2380

Reviews and Comments


Psychologist in Summersville, WV

Annette Marino Zavareei, ED. D
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Mrs. Stephanie Kelly Ford, DEL,MA.,LIC. PSYCH.
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Phone: 304-872-6503    Fax: 304-872-5415
April D Clendenin, SCHOOL PSYCHOLOGIST
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Medicare: Not Enrolled in Medicare
Practice Location: 400 Old Main Dr, Summersville, WV 26651
Phone: 304-872-3611    Fax: 304-872-4626

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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