Joel Allen V, MD

Individual provider Active NPI Psychiatry Physician · Clarksburg, WV

NPI 1679674469 · NPPES record last updated Apr 19, 2016

Key facts

NPI
1679674469
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatry Physician 2084P0800X
License
09371 (WV)
Practice address
6 Hospital PLZ
Clarksburg, WV 26301-9316
Phone
(304) 623-5661
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
09371WVMDPsychiatry Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 09371 WV Yes

Addresses

Primary practice location

6 Hospital PLZ
Clarksburg, WV 26301-9316

Mailing address

6 Hospital PLZ
Clarksburg, WV 26301-9316
Phone (304) 623-5661

Other providers in Clarksburg, WV

All providers in Clarksburg, WV · Psychiatry Physician in West Virginia

Sources for this page

Verify at the official NPI Registry.