Ratliff, Glenn W

Ratliff, Glenn W is an individual health care provider with primary practice located at 97 Great Teays Blvd Ste 6 , Scott Depot WV 25560-9816. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Ratliff, Glenn W can be contacted via phone (304) 757-6999.

Contact Information

Primary practice address
97 Great Teays Blvd Ste 6 Scott Depot WV 25560-9816
Phone: (304) 757-6999
Fax: (304) 201-5019
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1016 West Virginia

Profile Details

NPI number 1356637318
LBN Legal business name Ratliff, Glenn W
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2011
Last updated Jun 10th, 2020 - about 5 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 1356637318 NPPES
West Virginia MEDICAID 1356637318

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