Amanda Sue Charlton-Fryer, PSYD
Individual provider Active NPI Psychologist · Clarksburg, WV
NPI 1104148436 · NPPES record last updated Feb 23, 2011
Key facts
- NPI
- 1104148436
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- PS016963 (PA)
- Practice address
- 1 Med Center Dr
Louis a. Johnson VA Medical Center Mental Health Clinic
Clarksburg, WV 26301-4155 - Phone
- (304) 623-3461
- NPI assigned
- Mar 1, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS016963 | PA | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS016963 | PA | Yes |
Addresses
Primary practice location
1 Med Center Dr
Louis a. Johnson VA Medical Center Mental Health Clinic
Clarksburg, WV 26301-4155
Mailing address
1 Med Center Dr
Louis a. Johnson VA Medical Center Mental Health Clinic
Clarksburg, WV 26301-4155
Phone (304) 623-3461
Other names
- Ms. Amanda Sue Charlton
Other providers in Clarksburg, WV
- Jessica Chadwick
- Angela Jean Chamberlain
- Laurel Victoria Chambers
- Lori Marie Champaign
- Sokhom Raphael Chan
- Thomas Harry Chase
- Jessica Nicole Chatham
- Lila Chaverra-Catania
- Danielle Marie Chefren
- Logan Allen Cheshire
All providers in Clarksburg, WV · Psychologist in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.