Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHILIP E SUNDSTROM, M.A.,LIC PSYCHOLOGIS
ActivePHILIP E SUNDSTROM, M.A.,LIC PSYCHOLOGIS is a Psychologist healthcare provider located in FAYETTEVILLE, West Virginia. NPI 1750594115 is currently active in the NPPES registry. Verify at CMS.
Psychologist · FAYETTEVILLE, WV
Registration Details
- NPI Number
- 1750594115
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 8, 2007 (19.241356696026 yrs)
- Last Updated
- Jul 8, 2007
- License
-
257 (WV)
Practice Information
- Address
-
209 W MAPLE AVEFAYETTEVILLE, WV, 258401413Browse WV providers · Browse ZIP 25840
- Phone
- 3045742100
- Fax
- 3045742151
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in FAYETTEVILLE, WV
| Name | Credential | NPI |
|---|---|---|
| STEPHANIE JILL DANIEL | MS | 1134279581 |
| MRS. REBECCA RAE STONE | MA | 1134552888 |
| BARBARA JEAN ANN JORDAN | — | 1457981136 |
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.