<Unavail>
LBN: Clifton R. Hudson, Ph.D.
<Unavail> is an health care organization with primary practice located at 1335 Virginia St E , Charleston WV 25301-3011. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Forensic is the primary health care specialty.
Clifton R. Hudson, Ph.D. can be contacted via phone (800) 983-2875, or through Hudson, Clifton Robert via phone (800) 983-2875.
Contact Information
Primary practice address
1335 Virginia St E
Charleston WV 25301-3011
Phone: (800) 983-2875
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 908 | West Virginia |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 908 | West Virginia |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 908 | West Virginia |
Profile Details
| NPI number | 1194261123 |
|---|---|
| LBN Legal business name | Clifton R. Hudson, Ph.D. |
| DBA Doing business as | <Unavail> |
| Authorized official | Hudson, Clifton Robert PH.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 14th, 2017 |
| Last updated | Jan 14th, 2017 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194261123 | NPPES |
| West Virginia | MEDICAID | 3810002673 |
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