NPI: 1750481453 · LONGVIEW, WA 98632 · Ambulatory Surgical Clinic/Center · NPI assigned 09/22/2006
| Authorized Official | MYERS, JENNIFER (DIRECTOR OF CLIENT SERVICES) |
| NPI Enumeration Date | 09/22/2006 |
Other providers sharing the same authorized official: MYERS, JENNIFER
| Provider | City | State | Total Paid |
|---|---|---|---|
| MOUNTAINEER PSYCHOLOGICAL SERVICES, PLLC | MORGANTOWN | WV | $607K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 64721 | 12 | 12 | $4K |