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
Phone: (301) 331-0791
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275546517 | NPPES |
| Other | L01866259 | BLUE SHIELD | |
| MEDICAID | 101644023 | BLUE SHIELD |
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