Yost, Tina M

Yost, Tina M is an individual health care provider with primary practice located at 2019 Pleasant Valley Road , Fairmont WV 26554. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Yost, Tina M can be contacted via phone (304) 366-4480.

Contact Information

Primary practice address
2019 Pleasant Valley Road Fairmont WV 26554
Phone: (304) 366-4480
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 806 West Virginia

Profile Details

NPI number 1306984893
LBN Legal business name Yost, Tina M
Credentials ED.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Sep 10th, 2019 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306984893 NPPES
West Virginia Other 001713010 BL CROSS BL SHIELD
West Virginia MEDICAID 9205042000 BL CROSS BL SHIELD

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