Harlow, Jeffrey

Harlow, Jeffrey is an individual health care provider with primary practice located at 1418 A Maccorkle Ave Sw , Charleston WV 25303. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Harlow, Jeffrey 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:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 344 West Virginia

Profile Details

NPI number 1154409480
LBN Legal business name Harlow, Jeffrey
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Mar 25th, 2008 - about 16 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 1154409480 NPPES
West Virginia MEDICAID 0164868000

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