Tebay, Brenda Lea
Tebay, Brenda Lea is an individual health care provider with primary practice located at 1200 Stephenson Ave Ste 400 , Parkersburg WV 26101-4889. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Tebay, Brenda Lea can be contacted via phone (304) 699-0506.Contact Information
Primary practice address
1200 Stephenson Ave Ste 400
Parkersburg WV 26101-4889
Phone: (304) 699-0506
Fax: (304) 422-8850
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | WV 878 | West Virginia |
Profile Details
| NPI number | 1003905464 |
|---|---|
| LBN Legal business name | Tebay, Brenda Lea |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Mar 23rd, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003905464 | NPPES |
| West Virginia | MEDICAID | 3810000161 |
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