Organization · Type 2 NPI

Jefferson Day Report Center, Inc.

Clinical Psychologist · Kearneysville, WV

NPI number 1790130508 Active

Practice location

130 E Burr Blvd Fl 1
Kearneysville, WV 25430-4788

Fax (304) 728-3614

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X521 (WV)
Clinical Social Worker 1041C0700XNone listed

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1790130508

Jefferson Day Report Center, Inc.'s National Provider Identifier is 1790130508, issued on Apr 29, 2016. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Kearneysville, WV. The record was last updated on Sep 11, 2024.