Gordon, Tara

Gordon, Tara is an sole proprietor health care provider with primary practice located at 2400 Union Ave Suite 400, Memphis TN 38112-4318. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Gordon, Tara can be contacted via phone (662) 902-0391.

Contact Information

Primary practice address
2400 Union Ave Suite 400 Memphis TN 38112-4318
Phone: (662) 902-0391
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X 000543136 Tennessee

Profile Details

NPI number 1760937163
LBN Legal business name Gordon, Tara
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2016
Last updated Aug 16th, 2016 - about 8 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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