Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. LARRY JACKSON LEGG, M.A.
ActiveMR. LARRY JACKSON LEGG, M.A. is a Clinical Psychologist healthcare provider located in SUMMERSVILLE, West Virginia. NPI 1366571499 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · SUMMERSVILLE, WV
Registration Details
- NPI Number
- 1366571499
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 5, 2007 (19.260373838687 yrs)
- Last Updated
- Jan 27, 2017
- Licenses
-
630 (WV)630 (WV)630 (WV)630 (WV)
Practice Information
- Address
-
702 PROFESSIONAL PARK DRSTE 106SUMMERSVILLE, WV, 266512033Browse WV providers · Browse ZIP 26651
- Phone
- 3048832380
- Fax
- 3048832383
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Counseling Psychologist
- Additional Specialty
- Child, Clinical Psychologist
- Additional Specialty
- Organizational & Business Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.