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NPI Code Detail

MEDICARE: MRS. KATHRYN ADAMS PSYD

MEDICARE: MRS. KATHRYN ADAMS PSYD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist1128WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1Q52206AOTHERWVPTAN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245605393
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATHRYN ADAMS PSYD
Provider Business Mailing Address
First Line : 97 GREAT TEAYS BLVD
Second Line : SUITE 6
City : SCOTT DEPOT
State : WV
Zip : 25560-9815
Country : US
Telephone Number : 304-757-6999
Fax Number : 304-757-3252
Provider Business Practice Location Address
First Line : 97 GREAT TEAYS BLVD
Second Line : SUITE 6
City : SCOTT DEPOT
State : WV
Zip : 25560-9815
Country : US
Telephone Number : 304-757-6999
Fax Number : 304-757-3252
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2015
Last Update Date : 01/30/2026

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Directions to “ MRS. KATHRYN ADAMS PSYD” Practice Location

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