Individual
MRS. TONYA M. MCFADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
12301 GRAPEFIELD RD, BASTIAN, VA 24314-4547
(276) 688-4331
(276) 688-4336
Mailing address
214 S WALKER ST, PRINCETON, WV 24740-2747
(304) 425-7770
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810006108
VA
103T00000X
Psychologist
639
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007707690
—
VA
05
—
0164509000
—
WV
Enumeration date
05/03/2006
Last updated
02/20/2024
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