Louchery, Tara

Louchery, Tara is an individual health care provider with primary practice located at 28 S Potomac St #2R, Hagerstown MD 21740-6194. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Louchery, Tara can be contacted via phone (301) 331-0791.

Contact Information

Primary practice address
28 S Potomac St #2R Hagerstown MD 21740-6194
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS01631 Pennsylvania

Profile Details

NPI number 1275546517
LBN Legal business name Louchery, Tara
Credentials D.ED
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated May 28th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275546517 NPPES
Other L01866259 BLUE SHIELD
MEDICAID 101644023 BLUE SHIELD

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