MR. Larry Jackson Legg, M.A.

NPI #1366571499 in Summersville, West Virginia

Provider Information

NPI Number: 1366571499
Entity Type: Individual
Name: MR. Larry Jackson Legg, M.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: M.A.
Enumeration Date: Mar 5, 2007
Last Updated: Jan 27, 2017

Practice Location

Address: 702 PROFESSIONAL PARK DR
Address 2: STE 106
City: Summersville
State: West Virginia
ZIP Code: 26651-2033
Phone: (304) 883-2380

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary
Psychologist - Counseling — Counseling	103TC1900X
Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent	103TC2200X
Psychologist - Intellectual & Developmental Disabilities — Intellectual & Developmental Disabilities	103TM1800X

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Organizations

Provider Name	Specialty	City
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