Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jefferson Day Report Center, Inc

Organization Clinical Psychologist · NPI 1790130508

Jefferson Day Report Center, Inc is a Clinical Psychologist in Kearneysville, West Virginia. Licensed in West Virginia. Registered with an NPI since 2016.

Licensed in
WV
In the registry since
2016
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

130 E Burr Blvd Fl 1
Kearneysville, WV 25430-4788
Phone: (304) 728-3527
Fax: (304) 728-3614
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 521 (WV)
Clinical Social Worker Taxonomy 1041C0700X (WV)

Record details

NPI number1790130508
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Franklin — Director · (304) 728-3257
NPI enumeratedApril 29, 2016
Last updated in NPPESSeptember 11, 2024
Certification dateSeptember 11, 2024
Mailing address130 E Burr Blvd Fl 1, Kearneysville, WV 25430-4788

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