Individual
TAMMY L MCCLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1025 MAIN ST, SUITE 507, WHEELING, WV 26003-2726
(304) 233-4600
(304) 232-0719
Mailing address
2219 MAIN ST, WELLSBURG, WV 26070-1035
(304) 914-2436
(304) 232-0719
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
5069
OH
103TC0700X
Clinical Psychologist
Primary
854
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000353399
ANTHEM
OH
05
—
2406480
—
OH
01
—
716953000
MAGELLAN
OH
01
—
P00164159
RAILROAD MEDICARE
OH
Enumeration date
08/30/2006
Last updated
05/23/2008
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