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General NPI Number Information
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NPI Number | 1295813244
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Entity Type | Organization
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Legal Business Name | INSIGHT PSYCHOLOGICAL & COUNSELING INC.
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 09/09/2008
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Provider Practice Location Address
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Address Line | 1401 HOSPITAL DR STE # 106
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City | HURRICANE
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State | WV
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Zip | 25526-9237
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Country | US
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Telephone | 304-757-8650
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Fax | 304-757-0633
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Provider Business Mailing Address
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Address Line | 1401 HOSPITAL DR STE # 106
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City | HURRICANE
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State | WV
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Zip | 25526-9237
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Country | US
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Telephone | 304-757-8650
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Fax | 304-757-0633
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | MR. BRUCE E CLAY
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Credential | MA
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Telephone | 304-757-8650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number |
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License Number State | WV
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