Woodrum-Leuthold, Diane

Woodrum-Leuthold, Diane is an sole proprietor health care provider with primary practice located at 1445 Stewartstown Rd Ste 200 , Morgantown WV 26505-3868. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Woodrum-Leuthold, Diane can be contacted via phone (304) 598-2300.

Contact Information

Primary practice address
1445 Stewartstown Rd Ste 200 Morgantown WV 26505-3868
Phone: (304) 598-2300
Fax: (304) 598-2307
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 20046 West Virginia
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20046 West Virginia

Profile Details

NPI number 1316957087
LBN Legal business name Woodrum-Leuthold, Diane
Credentials ED.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2006
Last updated Sep 21st, 2023 - about last year

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 1316957087 NPPES
West Virginia MEDICAID 0166166000
West Virginia Other 001713032

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