Organization Name: | SHARON REYNOLDS FLESCHNER |
NPI Number: | 1265530505 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHARON REYNOLDS FLESCHNER (LICENSED CLINICAL PSYCHOLOGIST) |
Mailing Address: | 325 Seneca Trl Suite A Ronceverte |
State: | WV US |
Postal Code: | 249701319 |
Phone Number: | 3046475020 |
Fax Number: | 3046456524 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 835 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |