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General NPI Number Information
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NPI Number | 1306242540
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Entity Type | Organization
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Legal Business Name | MOUNTAINEER PSYCHOLOGICAL SERVICES, PLLC
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Dates
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Enumeration Date | 11/17/2014
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 100 CORPORATE DR
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City | MORGANTOWN
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State | WV
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Zip | 26501-4580
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Country | US
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Telephone | 304-241-1766
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Fax | 304-381-2648
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Provider Business Mailing Address
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Address Line | 100 CORPORATE DR
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City | MORGANTOWN
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State | WV
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Zip | 26501-4580
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Country | US
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Telephone | 304-241-1766
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Fax | 304-381-2648
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Authorized Official
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Title or Position | PSYCHOLOGIST/OWNER
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Name | DR. JENNIFER GURIEL MYERS
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Credential | PH.D.
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Telephone | 304-241-1766
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 926
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | 926
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License Number State | WV
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 926
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License Number State | WV
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