Gary Dean Stover in Parkersburg - Intellectual And Developmental Disabilities

Gary Dean Stover - NPI 1538295829

Gary Dean Stover is a Intellectual And Developmental Disabilities in Parkersburg, . Gary Dean Stover practices all healthcare services and medical treatments related to Intellectual And Developmental Disabilities. The NPI Number for Gary Dean Stover is 1538295829. The last update date is 2007-07-08.

Gary Dean Stover's current location address is 3518 Cadillac Dr, Parkersburg, . You can contact this provider via phone number 3044855578. The mailing address for Gary Dean Stover is 3518 Cadillac Dr, Parkersburg, . To know further, please read the information below!

Provider Profile Detail

Provider Name Gary Dean Stover
Address 3518 Cadillac Dr, Parkersburg,
Phone Number 3044855578
Fax Number
Sole Proprietor N
Credentials MA, LP

NPI Number Detail

NPI Number 1538295829
Provider Enumeration Date 2007-02-23
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3518 Cadillac Dr
City Parkersburg
State (WV)
Post Code 261042114
Phone Number 3044855578
Fax Number

Provider's Primary Taxonomy Detail

Speciality Intellectual And Developmental Disabilities
Taxonomy 103Tm1800X
Licence No 873
Definition:
A psychologist who works with people who have cognitive impairments and developmental disabilities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
873 WV PSYCHOLOGY LICENSE

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FAQs about Gary Dean Stover

What is the unique identification code assigned to Gary Dean Stover by the Centers for Medicare & Medicaid Services?

The Gary Dean Stover has been issued the NPI (National Provider Identifier) 1538295829. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Gary Dean Stover's physical address?

The Gary Dean Stover is physically located at 3518 Cadillac Dr, in the city of Parkersburg, WV, with the postal code 261042114.

What is Gary Dean Stover's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Gary Dean Stover is Intellectual And Developmental Disabilities, and the corresponding taxonomy classification code for this specialized field is 103Tm1800X.

When was the Gary Dean Stover's 1538295829 issued?

The Gary Dean Stover's 1538295829 was issued on 2007-02-23.

As of what date were the details related to Gary Dean Stover most recently updated or revised?

The information pertaining to Gary Dean Stover, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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