Bunnenberg, Tara

Bunnenberg, Tara is an individual health care provider with primary practice located at 6729 Myrtle Ave , Glendale NY 11385-7063. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Bunnenberg, Tara can be contacted via phone (718) 779-1234.

Contact Information

Primary practice address
6729 Myrtle Ave Glendale NY 11385-7063
Phone: (718) 779-1234
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1518360254
LBN Legal business name Bunnenberg, Tara
Credentials M.S.W
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2014
Last updated Oct 8th, 2014 - about 10 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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