Organization Name: | EASTERN PSYCHOLOGICAL SERVICES, INC. |
NPI Number: | 1326009580 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHERI ELLEN COLEMAN (PRESIDENT/PSYCHOLOGIST) |
Mailing Address: | 278 N High St Suite 1 Romney |
State: | WV US |
Postal Code: | 267571415 |
Phone Number: | 3048223429 |
Fax Number: | 3048227225 |
NPI Enumeration Date: | 03/29/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 713 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |