Elise Ann Drake, PHD
Individual provider Active NPI Psychologist · Charleston, WV
NPI 1821344276 · NPPES record last updated Aug 2, 2012
Key facts
- NPI
- 1821344276
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 1045 (WV)
- Practice address
- 501 Morris St
Charleston, WV 25301-1326 - Phone
- (304) 388-9969
- NPI assigned
- Aug 2, 2012
- 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)
- Yes
- Credentials
- Doctor of Philosophy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1045 | WV | Yes |
Addresses
Primary practice location
501 Morris St
Charleston, WV 25301-1326
Mailing address
501 Morris St
Charleston, WV 25301-1326
Phone (304) 388-9969
Other providers in Charleston, WV
- Dr. Michael R. Condaras DCCC
- Dr. Raghda Sahloul, Inc.
- Dr. William Christopher Taylor, PLLC
- Casey Nicole Drake
- Davida Drake
- Morgan Drake
- Kara Dravenstott
- Lora Drenner
- Donna A Driggs
- Kevin A Driver
All providers in Charleston, 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 Aug 2, 2012. 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.