Doctor Name: | DR. CHAD H PRIESTLEY |
NPI Number: | 1154542108 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 2125 |
Business Practice Address: | 1 Medical Center Drive Louis A Johnson Va Medical Center Clarksburg, WV - 263014199 |
Business Phone Number: | 3046233461 |
Business Fax Number: | |
Mailing Address: | 1 Medical Center Drive, Louis A Johnson Va Medical Center CLARKSBURG |
State: | WV |
Postal Code: | 263014199 |
Phone Number: | 3046233461 |
Fax Number: | |
NPI Enumeration Date: | 05/01/2007 |
NPI Last Update Date: | 11/16/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084P0802X |
License Number: | 2125 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Psychiatry |
Taxonomy Definition: | Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |