Healthcare Provider Details

I. General information

NPI: 1528024247
Provider Name (Legal Business Name): JOANNE VRABEL PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

936 MARKET STREET
PARKERSBURG WV
26101
US

IV. Provider business mailing address

936 MARKET STREET
PARKERSBURG WV
26101
US

V. Phone/Fax

Practice location:
  • Phone: 304-422-7300
  • Fax: 804-428-3719
Mailing address:
  • Phone: 304-422-7300
  • Fax: 804-428-3719

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number513
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: