Provider Demographics
NPI:1023111523
Name:FECHTER-LEGGETT, MOLLY OBER (PSYD)
Entity type:Individual
Prefix:DR
First Name:MOLLY
Middle Name:OBER
Last Name:FECHTER-LEGGETT
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:MARGARET
Other - Middle Name:
Other - Last Name:OBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:3602 COLLINS FERRY RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505
Mailing Address - Country:US
Mailing Address - Phone:304-598-6655
Mailing Address - Fax:
Practice Address - Street 1:3602 COLLINS FERRY RD
Practice Address - Street 2:SUITE 150
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505
Practice Address - Country:US
Practice Address - Phone:304-598-6655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-07
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9074103T00000X, 103TB0200X, 103TC2200X, 103TF0000X, 103TC0700X, 103TF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily