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DR. TARA FAWN RAY DO NPI 1033152418


NPI Information

NPI: 1033152418
Provider Name: DR. TARA FAWN RAY, DO
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Individual

Specialization: Psychiatry

Address:
400 DIVISION ST
SUITE 3
SOUTH CHARLESTON, WV
ZIP 25309
Phone: (304) 767-7960
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DR. Tara Fawn Ray, DO is a psychiatry psychiatry neurology in South Charleston, WV. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. DR. Tara Fawn Ray, DO NPI is 1033152418. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

400 DIVISION ST
SUITE 3
SOUTH CHARLESTON, WV
ZIP 25309-459
Phone: (304) 767-7960
Fax: (304) 767-7969

The enumeration date for this NPI number is 6/14/2006 and was last updated on 5/17/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatry2117WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13810002665MEDICAIDWEST VIRGINIA
22616995OTHEROHIOMEDICAID
3RA4161051MEDICARE ID-TYPE UNSPECIFIED
4I32136MEDICARE UPIN
5208724900OTHERWEST VIRGINIATAX IDENTIFICATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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