Individual
LISA TATE-KEYSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
218 D ST, SOUTH CHARLESTON, WV 25303-3104
(304) 720-3835
(304) 720-3836
Mailing address
218 D ST, SOUTH CHARLESTON, WV 25303-3104
(304) 720-3835
(304) 720-3836
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
530
WV
Other
Enumeration date
08/25/2015
Last updated
02/10/2023
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