Greenbrier County Day Report

Organization Active NPI Psychologist · Lewisburg, WV

NPI 1508306978 · NPPES record last updated Mar 3, 2017

Key facts

NPI
1508306978
Entity type
Organization (NPI type 2)
Primary specialty
Psychologist 103T00000X
Legal business name
GREENBRIER COUNTY DAY REPORT
Practice address
267 Dawkins Dr
Lewisburg, WV 24901-9674
Phone
(304) 647-1389
NPI assigned
Mar 3, 2017
Organization subpart
No

Authorized official

Name
Laura Legg
Title
Director
Phone
(304) 647-1389

National Provider Directory

Locations

267 Dawkins Dr
Lewisburg, WV 24901
Phone (304) 647-1389

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101Y00000X
Psychologist
Group: 193200000X MULTI-SPECIALTY GROUP
103T00000X Yes
Addiction (Substance Use Disorder) Psychologist
Group: 193200000X MULTI-SPECIALTY GROUP
103TA0400X

Addresses

Primary practice location

267 Dawkins Dr
Lewisburg, WV 24901-9674

Mailing address

267 Dawkins Dr
Lewisburg, WV 24901-9674

Other providers in Lewisburg, WV

All providers in Lewisburg, WV · Psychologist in West Virginia

Sources for this page

Verify at the official NPI Registry.