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General NPI Number Information
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NPI Number | 1215743703
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Entity Type | Individual
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Provider Name | JAMIE ELIZABETH HUMPHREY PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 1115 20TH STREET SUITE 205
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City | HUNTINGTON
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State | WV
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Zip | 25703-2071
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Country | US
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Telephone | 304-939-6487
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Fax | 304-523-4358
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Provider Business Mailing Address
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Address Line | 1448 10TH AVENUE SUITE 304
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City | HUNTINGTON
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State | WV
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Zip | 25701-3579
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Country | US
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Telephone | 304-691-6381
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Fax | 304-691-8591
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1369
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License Number State | WV
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