Hart-Burhoop, Tara Leigh

Hart-Burhoop, Tara Leigh is an individual health care provider with primary practice located at 13460 Walsh Dr , Boys Town NE 68010-7529. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Hart-Burhoop, Tara Leigh can be contacted via phone (402) 498-3358.

Contact Information

Primary practice address
13460 Walsh Dr Boys Town NE 68010-7529
Phone: (402) 498-3358
Fax: (402) 498-3375
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 880 Nebraska

Profile Details

NPI number 1780064006
LBN Legal business name Hart-Burhoop, Tara Leigh
Credentials PH.D., LP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2015
Last updated Jul 20th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780064006 NPPES
Nebraska MEDICAID 10025550700
Nebraska MEDICAID 47037660631

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