Organization · NPI-2

Lisa Blosser, Ma,

Clinic/Center, Mental Health (Including Community Mental Health Center) · Morgantown, WV

NPI number1508627472
StatusActive
Last updated in NPPESApr 23, 2024

Details

NPI
1508627472
Entity type
Organization (NPI-2)
Legal business name
Lisa Blosser, Ma,
Organization subpart
No
Enumeration date
Jan 18, 2024
Certification date
Apr 23, 2024
Last updated
Apr 23, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Other names

  • Lisa Blosser, PLLC, Psychotherapy (Other Name)

Practice location

7000 Hampton Ctr Ste H
Morgantown, WV 26505-1762

Phone 304-440-6810 · Fax 617-865-7064

Mailing address

7000 Hampton Ctr Ste H
Morgantown, WV 26505-1762

Phone 304-440-6810

Authorized official

Lisa Blosser
Owner
3046857652

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