Poe, Susannah G

Poe, Susannah G is an individual health care provider with primary practice located at 1 Medical Center Dr , Morgantown WV 26506. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Poe, Susannah G can be contacted via phone (304) 598-4800.

Contact Information

Primary practice address
1 Medical Center Dr Morgantown WV 26506
Phone: (304) 598-4800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X 849 West Virginia
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 849 West Virginia

Profile Details

NPI number 1669552501
LBN Legal business name Poe, Susannah G
Credentials ED.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Aug 28th, 2018 - about 7 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 1669552501 NPPES
West Virginia MEDICAID 9202154000

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