MEDICARE: APPALACHIAN PSYCHOLOGICAL ASSOCIATES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	811	WV
2	103TF0200X	Forensic Psychologist	811	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144351024
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APPALACHIAN PSYCHOLOGICAL ASSOCIATES, INC.

Provider Business Mailing Address
First Line	:	134 E 2ND AVE
Second Line	:
City	:	WILLIAMSON
State	:	WV
Zip	:	25661-3602
Country	:	US
Telephone Number	:	304-235-1200
Fax Number	:	304-235-1945

Provider Business Practice Location Address
First Line	:	134 E 2ND AVE
Second Line	:
City	:	WILLIAMSON
State	:	WV
Zip	:	25661-3602
Country	:	US
Telephone Number	:	304-235-1200
Fax Number	:	304-235-1945

Authorized Official
Title or Position	:	OWNER
Name	:	DR. PAMELA RYAN
Credential	:	PH.D.
Telephone Number	:	304-235-1200

Provider Enumeration Date	:	03/09/2007
Last Update Date	:	09/11/2025

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