Deluco, Tara

Deluco, Tara is an individual health care provider with primary practice located at 1436 Idlewood Rd , Glendale CA 91202-1419. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Deluco, Tara can be contacted via phone (323) 375-4442.

Contact Information

Primary practice address
1436 Idlewood Rd Glendale CA 91202-1419
Phone: (323) 375-4442
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 024035 New York
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 32957 California

Profile Details

NPI number 1639787062
LBN Legal business name Deluco, Tara
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2020
Last updated Jan 12th, 2022 - about 3 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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