Healthcare Provider Details

I. General information

NPI: 1497733430
Provider Name (Legal Business Name): JANET WEEKLEY ADKINS M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: JANET INEZ KNIGHT M.A.

II. Dates (important events)

Enumeration Date: 01/09/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6351 US ROUTE 60 E JOHNSON PLAZA, SUITE 2A
BARBOURSVILLE WV
25504-1233
US

IV. Provider business mailing address

PO BOX 196
BARBOURSVILLE WV
25504-0196
US

V. Phone/Fax

Practice location:
  • Phone: 304-522-9555
  • Fax: 304-522-9555
Mailing address:
  • Phone: 304-522-9555
  • Fax: 304-522-9555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number565
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: