Provider Demographics
NPI:1841525730
Name:PREFERRED PSYCHOLOGICAL SOLUTIONS, PLLC
Entity type:Organization
Organization Name:PREFERRED PSYCHOLOGICAL SOLUTIONS, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOLOGIST
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:A
Authorized Official - Last Name:SPAULDING
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:888-505-1862
Mailing Address - Street 1:1116 SMITH ST
Mailing Address - Street 2:SUITE 207
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25301-1314
Mailing Address - Country:US
Mailing Address - Phone:888-505-1862
Mailing Address - Fax:681-265-9250
Practice Address - Street 1:1116 SMITH ST
Practice Address - Street 2:SUITE 207
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25301-1314
Practice Address - Country:US
Practice Address - Phone:888-505-1862
Practice Address - Fax:681-265-9250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-09
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV936103TB0200X, 103TC2200X, 103TP2701X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Multi-Specialty
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Multi-Specialty