Perdue, Penny O

Perdue, Penny O is an individual health care provider with primary practice located at 845 4Th Ave Ste 301, Huntington WV 25701. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Perdue, Penny O can be contacted via phone (304) 523-8911.

Contact Information

Primary practice address
845 4Th Ave Ste 301 Huntington WV 25701
Phone: (304) 523-8911
Fax: (304) 523-8912
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 439 West Virginia
Behavioral Health & Social Service Providers / Psychologist 103T00000X 41 Kentucky

Profile Details

NPI number 1508807835
LBN Legal business name Perdue, Penny O
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Oct 14th, 2014 - about 10 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 1508807835 NPPES
West Virginia Other 001722758 BCBS
West Virginia MEDICAID 0163579000 BCBS

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