Dr Tara Fawn Ray, DO | |
400 Division St, Suite 3, South Charleston, WV 25309-1459 | |
(304) 767-7960 | |
(304) 767-7969 |
Full Name | Dr Tara Fawn Ray |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 400 Division St, South Charleston, West Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033152418 | NPI | - | NPPES |
3810002665 | Medicaid | WV | |
208724900 | Other | WV | TAX IDENTIFICATION |
2616995 | Other | OH | MEDICAID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 2117 (West Virginia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Tara Fawn Ray, DO Po Box 9189, South Charleston, WV 25309-0189 Ph: (304) 767-7960 | Dr Tara Fawn Ray, DO 400 Division St, Suite 3, South Charleston, WV 25309-1459 Ph: (304) 767-7960 |
Elma Zapanta Bernardo, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 401 Division St Ste 203, South Charleston, WV 25309 Phone: 304-766-3470 Fax: 304-766-3494 | |
John Patrick Hutton, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 218 D St, South Charleston, WV 25303 Phone: 304-720-3835 Fax: 866-931-8591 | |
Russell Irvin Voltin, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 312 6th Ave Ste 2, South Charleston, WV 25303 Phone: 304-768-6170 Fax: 304-768-2099 | |
Rita Gandhy, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 500 Poplar Street, Ste 202, South Charleston, WV 25309 Phone: 304-342-3891 Fax: 304-342-5307 | |
Daniel Bruce Thistlethwaite, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 312 6th Ave Ste 2, South Charleston, WV 25303 Phone: 304-768-6170 Fax: 304-768-2099 | |
Amy Nickole Wehrle, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 312 6th Ave Ste 2, South Charleston, WV 25303 Phone: 304-768-6170 Fax: 304-768-2099 |