Healthcare Provider Details

I. General information

NPI: 1023111523
Provider Name (Legal Business Name): MOLLY OBER FECHTER-LEGGETT PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARGARET OBER PSY.D.

II. Dates (important events)

Enumeration Date: 09/07/2006
Last Update Date: 04/08/2022
Certification Date: 04/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3602 COLLINS FERRY RD SUITE 150
MORGANTOWN WV
26505
US

IV. Provider business mailing address

3602 COLLINS FERRY RD SUITE 150
MORGANTOWN WV
26505
US

V. Phone/Fax

Practice location:
  • Phone: 304-598-6655
  • Fax:
Mailing address:
  • Phone: 304-598-6655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number9074
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number9074
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number9074
License Number StateMA
# 4
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number9074
License Number StateMA
# 5
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number9074
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: