NPI 1548880362 · live from the CMS NPI Registry
Jill Suzanne Bange, MD
Psychiatry & Neurology, Psychiatry in Huntington, WV. National Provider Identifier 1548880362, active.
NPI record
| NPI | 1548880362 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Psychiatry 2084P0800X |
| Practice location | 1115 20th St, Huntington, WV 25703 |
| Practice phone | 304-691-1500 |
| Mailing address | 1448 10th Ave Ste 304, Huntington, WV 25701 |
| Enumerated | April 22, 2020 |
| Last updated | July 9, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Psychiatry primary | 2084P0800X | 33534 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.