MEDICARE: MARTHA A ATTWOOD 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
1	103TC0700X	Clinical Psychologist	1001	WV
2	106H00000X	Marriage & Family Therapist
3	103T00000X	Psychologist	1001	WV

General Provider Information

NPI Number	:	1699840710
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTHA A ATTWOOD PSYD

Provider Business Mailing Address
First Line	:	PO BOX 1680
Second Line	:
City	:	HUNTINGTON
State	:	WV
Zip	:	25717-1680
Country	:	US
Telephone Number	:	304-697-1396
Fax Number	:	304-697-2086

Provider Business Practice Location Address
First Line	:	85 DONOHOE DR
Second Line	:
City	:	HUNTINGTON
State	:	WV
Zip	:	25705-8887
Country	:	US
Telephone Number	:	304-399-3310
Fax Number	:	304-523-5416

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2006
Last Update Date	:	05/14/2024

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Directions to “ MARTHA A ATTWOOD PSYD” Practice Location

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