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Individual

RUBEN TINAJERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6040 UNIVERSITY TOWN CENTRE DR, MORGANTOWN, WV 26501-2421
(304) 598-4000
Mailing address
6040 UNIVERSITY TOWN CENTRE DR, MORGANTOWN, WV 26501-2421

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
1279
WV
103TC0700X
Clinical Psychologist
Primary
1279
WV

Other

Enumeration date
02/08/2021
Last updated
04/15/2022
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