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General NPI Number Information
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NPI Number | 1619466463
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Entity Type | Organization
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Legal Business Name | MH PSYCHOLOGICAL SERVICES, PLLC
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Dates
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Enumeration Date | 05/08/2018
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Last Update Date | 02/21/2024
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Provider Practice Location Address
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Address Line | 125 MORRIS CT
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City | HURRICANE
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State | WV
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Zip | 25526
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Country | US
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Telephone | 304-633-3573
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Fax |
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Provider Business Mailing Address
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Address Line | 125 MORRIS CT
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City | HURRICANE
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State | WV
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Zip | 25526-1453
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Country | US
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Telephone | 681-233-3550
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Fax | 681-233-3551
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | MRS. MELISSIA SUE HARDIN
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Credential | MA
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Telephone | 304-633-3573
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1017
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License Number State | WV
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