PHILIP SUNDSTROM, M.A.,LIC PSYCHOLOGIS

Psychologist

Active Individual
NPI: 1750594115

Practice Address

209 W MAPLE AVE
Fayetteville, WV 25840

Phone: (304) 574-2100

Specialties

Specialty Code Primary License
Psychologist 103T00000X Yes 257 (WV)

Frequently Asked Questions

NPI 1750594115 is the National Provider Identifier for PHILIP SUNDSTROM, M.A.,LIC PSYCHOLOGIS, a Psychologist provider located in Fayetteville, WV. This NPI was enumerated on May 8, 2007.
PHILIP SUNDSTROM, M.A.,LIC PSYCHOLOGIS practices at 209 W MAPLE AVE, Fayetteville, WV 25840.

Quick Facts

NPI
1750594115
Type
Individual
Enumerated
May 8, 2007
Last Updated
Jul 8, 2007

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