Individual
TARYN EISENBREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
971 HARRISON AVE, ELKINS, WV 26241-3608
(304) 636-9450
Mailing address
971 HARRISON AVE, ELKINS, WV 26241-3608
(304) 636-9450
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1124
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/20/2011
Last updated
03/23/2016
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