Maddalena, Tara A.
Maddalena, Tara A. is an sole proprietor health care provider with primary practice located at 256 Main St Suite 1108, Northport NY 11768-1733. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Maddalena, Tara A. can be contacted via phone (631) 901-2640.Contact Information
Primary practice address
256 Main St Suite 1108
Northport NY 11768-1733
Phone: (631) 901-2640
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 015759 | New York |
Profile Details
| NPI number | 1144362906 |
|---|---|
| LBN Legal business name | Maddalena, Tara A. |
| Credentials | PSY. D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 12th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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