RAYMOND K DIPINO PH.D.
Clinical Neuropsychologist
Charleston, West Virginia
Provider NPI: 1063514776
Provider Information:RAYMOND K DIPINO PH.D.
Gender: M
Not Sole Proprietor
Practice Location:
501 MORRIS ST CHARLESTON, WV 25301 US
Tel: 304-341-1500 Fax: 304-341-1570
Business Mailing Address:
PO BOX 7000 MORGANTOWN, WV 26507 US
Tel: 304-347-1290 Fax: 304-347-1397
Entity Type: Individual
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | WV | 801 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
9201082000 | WV | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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