| Dr Tara F Ray Psychiatric Servcies, Pllc | |
|
400 Division St Suite 3 South Charleston WV 25309-1459 | |
| (304) 767-7960 | |
| (304) 767-7969 |
| Full Name | Dr Tara F Ray Psychiatric Servcies, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 400 Division St, South Charleston, West Virginia |
| Authorized Official Name and Position | Tara F Ray (OWNER) |
| Authorized Official Contact | 3047677960 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tara F Ray Psychiatric Servcies, Pllc Po Box 9189 South Charleston WV 25309-0189 Ph: (304) 767-7960 | Dr Tara F Ray Psychiatric Servcies, Pllc 400 Division St Suite 3 South Charleston WV 25309-1459 Ph: (304) 767-7960 |
| NPI Number | 1710183504 |
|---|---|
| Provider Enumeration Date | 06/27/2007 |
| Last Update Date | 05/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710183504 | NPI | - | NPPES |
| 3810002665 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2117 (West Virginia) | Primary |
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