Louise Cormier, PHD

Individual provider Active NPI Psychologist · Morgantown, WV

NPI 1386854552 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1386854552
Entity type
Individual (NPI type 1)
Primary specialty
Psychologist 103T00000X
License
410 (WV)
Practice address
40 Antietam Dr
Morgantown, WV 26508-9005
Phone
(304) 594-1922
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
410WVMDRenal Nutrition Registered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 410 WV Yes

Addresses

Primary practice location

40 Antietam Dr
Morgantown, WV 26508-9005

Mailing address

40 Antietam Dr
Morgantown, WV 26508-9005
Phone (304) 594-1922

Other providers in Morgantown, WV

All providers in Morgantown, WV · Psychologist in West Virginia

Sources for this page

Verify at the official NPI Registry.