Longmore Gable, Mary

Longmore Gable, Mary is an individual health care provider with primary practice located at 601 Avery St Ste 400 , Parkersburg WV 26101-5111. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Longmore Gable, Mary can be contacted via phone (304) 428-6012.

Contact Information

Primary practice address
601 Avery St Ste 400 Parkersburg WV 26101-5111
Fax: (304) 428-6031
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 843 West Virginia

Profile Details

NPI number 1316094006
LBN Legal business name Longmore Gable, Mary
Credentials MA, LIC PSYCHOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
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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Identifiers

StateTypeNumberIssuer
All States NPI 1316094006 NPPES
West Virginia MEDICAID 9203062000

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