Damous, George Michael

Damous, George Michael is an sole proprietor health care provider with primary practice located at 218 D St , South Charleston WV 25303-3104. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Damous, George Michael can be contacted via phone (304) 720-3835.

Contact Information

Primary practice address
218 D St South Charleston WV 25303-3104
Phone: (304) 720-3835
Fax: (304) 720-3836
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 748 West Virginia

Profile Details

NPI number 1235261256
LBN Legal business name Damous, George Michael
Credentials M.A., ED.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235261256 NPPES
West Virginia MEDICAID 0165187000

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