Individual
MS. BRENDA LEA TEBAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1200 STEPHENSON AVE STE 400, PARKERSBURG, WV 26101-4889
(304) 699-0506
(304) 422-8850
Mailing address
PO BOX 373, HARRISVILLE, WV 26362-0373
(304) 643-4005
(304) 643-4007
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
WV 878
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810000161
—
WV
Enumeration date
10/12/2006
Last updated
03/23/2020
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