Individual
DR. TINA M YOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
2019 PLEASANT VALLEY ROAD, FAIRMONT, WV 26554
(304) 366-4480
Mailing address
2019 PLEASANT VALLEY ROAD, FAIRMONT, WV 26554
(304) 366-4480
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
806
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001713010
BL CROSS BL SHIELD
WV
05
—
9205042000
—
WV
Enumeration date
02/05/2007
Last updated
09/10/2019
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