NPI 1154690758

Kelly M. Vallango, EDSNCSP

Practitioner School Psychologist Clarksburg, WV

Practice location

Address: 48 Eb Saunders Way, Clarksburg, WV 26302-1370
Phone: (304) 624-6554
Fax: (304) 624-5223
Mailing address: PO Box 1370, Clarksburg, WV 26302-1370

Registered specialties

School Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TS0200X Licence 4144 (WV)

Other Psychologist providers in West Virginia →

Registry record

NPI: 1154690758
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Dec 2011
Record last updated: 28 Dec 2011

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.