NPI 1184768491

Tina Marie Leisure

Practitioner Psychologist Parkersburg, WV

Practice location

Address: 3 Western Hills Dr, Parkersburg, WV 26105-8122
Phone: (304) 420-1395
Fax: (304) 420-1364
Mailing address: 839 Larkmead Rd, Parkersburg, WV 26101-7579

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 684 (WV)

Other Psychologist providers in West Virginia →

Registry record

NPI: 1184768491
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Feb 2007
Record last updated: 27 Feb 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.