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 provides Clinical Psychologist services 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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