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General NPI Number Information
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NPI Number | 1841645165
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL HEALTH ASSESSMENTS PLLC
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Dates
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Enumeration Date | 04/25/2016
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Last Update Date | 04/25/2016
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Provider Practice Location Address
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Address Line | 4453 NATIONAL RD
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City | TRIADELPHIA
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State | WV
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Zip | 26059-2012
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Country | US
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Telephone | 304-909-0185
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Fax | 304-909-0188
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Provider Business Mailing Address
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Address Line | 120 BROWNS RUN RD
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City | WHEELING
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State | WV
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Zip | 26003-9459
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Country | US
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Telephone | 304-909-0185
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Fax | 304-909-0188
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Authorized Official
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Title or Position | OWNER/LICENSED PSYCHOLOGIST
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Name | HOLLY COVILLE
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Credential | MA, EDS
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Telephone | 304-909-0185
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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 | 880
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License Number State | WV
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