Healthcare Provider Details

I. General information

NPI: 1922811900
Provider Name (Legal Business Name): DARRIOUN MONTE WEBB PSYD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2025
Last Update Date: 01/31/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 OLD SCHOOL HOUSE ROAD
FOREST HILL WV
24935
US

IV. Provider business mailing address

200 HEALTH CENTER DR
UNION WV
24983-8442
US

V. Phone/Fax

Practice location:
  • Phone: 304-446-1152
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1370
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: