West Virginia University Medical Corporation
NPI #1003665779 in Martinsburg, West Virginia
Provider Information
- NPI Number
- 1003665779
- Entity Type
- Organization
- Organization Name
- West Virginia University Medical Corporation
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
- Primary Specialty
- Psychologist
- Enumeration Date
- May 15, 2024
- Last Updated
- May 15, 2024
Practice Location
- Address
- 415 WILSON ST
- City
- Martinsburg
- State
- West Virginia
- ZIP Code
- 25401-3023
- Phone
- (304) 596-2899
Authorized Official
- Name
- JUSTIN GIBSON
- Title
- VP, FINANCE
- Phone
- (304) 598-4256
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
| Social Worker |
| Psychiatry & Neurology - Psychiatry — Psychiatry |
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
| Psychologist |
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