Individual
DR. MYRA DORENE WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
211 S CENTRAL AVE STE 500, MARSHFIELD, WI 54449-2866
(715) 721-6916
Mailing address
211 S CENTRAL AVE STE 500, MARSHFIELD, WI 54449-2866
(715) 721-6916
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3467-57
WI
103TC2200X
Clinical Child & Adolescent Psychologist
071007264
IL
Other
Enumeration date
09/18/2007
Last updated
06/13/2025
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