Gregory Jerome Mikeo
School Psychologist
408 E B Saunders Way
Clarksburg
, West Virginia 26301-3712
Gregory Jerome Mikeo
School Psychologist
408 E B Saunders Way
Clarksburg
, West Virginia 26301-3712
(304) 624-5223
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About
Features
Specialties
- School Psychologist
Languages spoken
- English
Location
First Address
- Gregory Jerome Mikeo
- Po Box 1370
- Clarksburg, WV
- Zip : 26302-1370
- Fax : (304) 624-5223
- Phone : (304) 624-6554
Second Address
- Gregory Jerome Mikeo
- 408 E B Saunders Way
- Clarksburg, WV
- Zip : 26301-3712
- Fax : (304) 624-5223
- Phone : (304) 624-6554
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TS0200X | School Psychologist | WV |
National Provider Identifier
| NPI | 1013186451 |
|---|---|
| Provider Name | Gregory Jerome Mikeo |
| First Address | Clarksburg, WV 26302-1370 |
| Second Address | Clarksburg, WV 26301-3712 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/02/2008 |
| Last Update Date | 28/02/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1000220000 | (05) | WV |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.