NPI 1710183504 · live from the CMS NPI Registry
Dr Tara F Ray Psychiatric Servcies, PLLC
Psychiatry & Neurology, Psychiatry in South Charleston, WV. National Provider Identifier 1710183504, active.
NPI record
| NPI | 1710183504 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Psychiatry 2084P0800X |
| Practice location | 400 Division St, Suite 3, South Charleston, WV 25309 |
| Practice phone | 304-767-7960 |
| Mailing address | Po Box 9189, South Charleston, WV 25309 |
| Enumerated | June 27, 2007 |
| Last updated | May 17, 2012 |
| Authorized official | Tara Ray, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Psychiatry primary | 2084P0800X | 2117 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.