NPI 1033152418

Tara Fawn Ray, DO

Practitioner Psychiatry Physician South Charleston, WV

Practice location

Address: 400 Division St Suite 3, South Charleston, WV 25309-1459
Phone: (304) 767-7960
Fax: (304) 767-7969
Mailing address: PO Box 9189, South Charleston, WV 25309-0189

Registered specialties

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 2117 (WV)

Other Psychiatry & Neurology providers in West Virginia →

Registry record

NPI: 1033152418
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jun 2006
Record last updated: 17 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.