GARY DEAN STOVER MA LP NPI 1538295829

NPI Information

NPI: 1538295829
Provider Name: GARY DEAN STOVER, MA, LP
Classification: Psychologist - 103TM1800X
Entity Type: Individual

Specialization: Intellectual and Developmental Disabilities

PECOS Registration: Yes

Address:
2121 7TH ST
PARKERSBURG, WV
ZIP 26101
Phone: (304) 485-1721
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Gary Dean Stover, MA, LP is an intellectual and developmental disabilities in Parkersburg, WV. Gary Dean Stover, MA, LP NPI is 1538295829. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2121 7TH ST
PARKERSBURG, WV
ZIP 26101-803
Phone: (304) 485-1721
Fax: (304) 485-6710

The NPI 1538295829 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 2/23/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TM1800X	Psychologist	Intellectual and Developmental Disabilities	873	WEST VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	873	OTHER	WEST VIRGINIA	PSYCHOLOGY LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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