Creasy, Brian August

Creasy, Brian August is an individual health care provider with primary practice located at 2004 Professional Ct , Martinsburg WV 25401-8808. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Creasy, Brian August can be contacted via phone (304) 596-5780.

Contact Information

Primary practice address
2004 Professional Ct Martinsburg WV 25401-8808
Phone: (304) 596-5780
Fax: (304) 596-5871
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 36616 Texas
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1123 West Virginia

Profile Details

NPI number 1598014292
LBN Legal business name Creasy, Brian August
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2012
Last updated Apr 7th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598014292 NPPES
West Virginia MEDICAID 3810030132

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