Psychiatry & Neurology, Neurology
PHONPHANH DEDTHANOU DO
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1447909346 · enumerated 2022-03-20 · record updated 2026-06-04. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 130 RED MULBERRY WAY APT 2, CHARLESTON, WV, 25306-6317 (515) 779-4571 Google Maps Apple Maps OpenStreetMap
- Practice location 1 MEDICAL CENTER DR, 1310 HSC, MORGANTOWN, WV, 26506 (304) 293-2342 Fax (304) 293-7725 Google Maps Apple Maps OpenStreetMap
Specialties
- Psychiatry & Neurology, Neurology 2084N0400X · Primary · License MED-PHYS-LIC-173223 MT
In this directory
WV Monongalia County Morgantown Psychiatry & Neurology, Neurology
Locations and evidence
-
Practice location
MORGANTOWN, WV, 26506
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.