MRS. KATHY DIANE WYRICK


Address: 220 South Walker Street, Princeton, WV 24740
Phone: 3043200498

MRS. KATHY DIANE WYRICK (NPI# 1477939460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477939460
Entity Type Individual
Full Name MRS. KATHY DIANE WYRICK
Credential LPC
Practice Address 220 South Walker Street
Princeton
WV 24740
Mailing Address Po Box 5936
Princeton
WV 24740
Practice Telephone 3043200498
Mailing Telephone 3043200498
Enumeration Date 2015-08-03
Last Update Date 2015-08-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
1868 WV Behavioral Health & Social Service Providers

Office Location

Street Address 220 SOUTH WALKER STREET
City PRINCETON
State WV
Zip Code 24740

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1841787900 Magdalena Furniss Counselor 20 Nassau St Ste 226, Princeton, NJ 08542-4505 2018-04-15
1417451725 Poonam D Patel Counselor 14 Farber Rd Ste 112, Princeton, NJ 08540-5913 2018-03-21
1679090344 Sudha Nagarajan Counselor 145 Witherspoon St., Suite A7, Princeton, NJ 08540 2017-08-24
1437695756 Kimberly Beury Counselor 29 Leigh Ave, Princeton, NJ 08542-3111 2017-01-10
1598120123 Eclectic Dragonfly Therapy Services, Pllc Counselor 108 6th Ave S, Princeton, MN 55371-1820 2015-12-26
1619344504 Danice C. Banda Counselor 4499 Route 27 Ste 1, Princeton, NJ 08540-8717 2015-08-26
1083043798 Esther Mills Counselor 218 Birch Ave, Princeton, NJ 08542-3106 2013-11-03
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Competitor

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City PRINCETON
Zip Code 24740

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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