Tanya Ilene Cook, ED.S
Individual provider Active NPI School Psychologist · Welch, WV
NPI 1427197367 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1427197367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- License
- 21035 (WV)
- Practice address
- 30 Central Ave
Welch, WV 24801-2008 - Phone
- (304) 436-8441
- NPI assigned
- Feb 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21035 | WV | MD | School Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 21035 | WV | Yes |
Addresses
Primary practice location
30 Central Ave
Welch, WV 24801-2008
Mailing address
1062 Airport Rd
Welch, WV 24801-2710
Phone (304) 549-8100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9201036000 | Medicaid | WV |
Other providers in Welch, WV
- Christina Collins
- Gary Tyrone Collins
- Community Health Systems Inc
- Conklin & Doersch DDS Inc
- Kodey Roy Cook
- Amanda Lacole Cooper
- Gladys Cooper
- Brittany S Copley
- Council of the Southern Mountains
- Council of the Southern Mountains, Inc.
All providers in Welch, WV · School Psychologist in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.