Individual
MS. TABITHA DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPA
Contact information
Practice address
1653 RYAN AVE, MURRAY, KY 42071-1768
(270) 978-0653
Mailing address
1653 RYAN AVE, MURRAY, KY 42071-1768
(270) 978-0653
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
KY-1005
KY
Other
Enumeration date
04/26/2014
Last updated
04/27/2014
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