Doctor Name: | TRINA BRYANT-RATLIFF |
NPI Number: | 1194108316 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LGSW |
License Number: | AP00942953 |
Business Practice Address: | 1215a Stewart Plz Dunbar, WV - 250643021 |
Business Phone Number: | 3045427747 |
Business Fax Number: | 3047685508 |
Mailing Address: | 1215a Stewart Plz, DUNBAR |
State: | WV |
Postal Code: | 250643021 |
Phone Number: | 3045427747 |
Fax Number: | 3047685508 |
NPI Enumeration Date: | 07/07/2015 |
NPI Last Update Date: | 07/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | AP00942953 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |