Dettinger, Wanda Mae

Dettinger, Wanda Mae is an individual health care provider with primary practice located at 1418 A Maccorkle Ave Sw , Charleston WV 25303. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Dettinger, Wanda Mae can be contacted via phone (304) 348-1288.

Contact Information

Primary practice address
1418 A Maccorkle Ave Sw Charleston WV 25303
Phone: (304) 348-1288
Fax: (304) 348-1262
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1564 West Virginia
Behavioral Health & Social Service Providers / Social Worker 104100000X AP00938675 West Virginia

Profile Details

NPI number 1639196124
LBN Legal business name Dettinger, Wanda Mae
Credentials LPC LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jul 8th, 2007 - about 17 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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