Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DANNEL KARL PETGRAVE, PHD
ActiveDANNEL KARL PETGRAVE, PHD is a Clinical Psychologist healthcare provider located in DAWES, West Virginia. NPI 1457892705 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · DAWES, WV
Registration Details
- NPI Number
- 1457892705
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 19, 2017 (9.2613386225963 yrs)
- Last Updated
- May 21, 2020
- License
-
1243 (WV)
Practice Information
- Address
-
5722 CABIN CREEK RDDAWES, WV, 25054Browse WV providers · Browse ZIP 25054
- Phone
- 3047342040
- Primary Specialty
-
Clinical Psychologist
103TC0700X
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.