NPI 1235631888

Meditelecare of West Virginia PLLC

Organisation Clinical Psychologist Charleston, WV

Practice location

Address: 5098 Washington St W STE 407, Charleston, WV 25313-1561
Phone: (860) 788-6404
Mailing address: PO Box 1595, Middletown, CT 06457-8095

Authorised official

Name: Andrea Godfrey
Title: Credentialing & Enrollment Manager
Phone: (860) 398-6441

Registered specialties (6)

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X

Other Psychologist providers in West Virginia →

Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X

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Psychiatry Physician

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X

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Geriatric Psychiatry Physician

Allopathic & Osteopathic Physicians Taxonomy 2084P0805X

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

Other Nurse Practitioner providers in West Virginia →

Psychiatric/Mental Health Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X

Registry record

NPI: 1235631888
Entity type: Organization
NPI issued: 28 Feb 2018
Record last updated: 5 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.