Spevack, Tara V

Spevack, Tara V is an individual health care provider with primary practice located at 1 Childrens Pl #3S32, Saint Louis MO 63110-1002. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Spevack, Tara V can be contacted via phone (314) 454-6069.

Contact Information

Primary practice address
1 Childrens Pl #3S32 Saint Louis MO 63110-1002
Phone: (314) 454-6069
Fax: (314) 454-4576
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 1999135246 Missouri

Profile Details

NPI number 1588681472
LBN Legal business name Spevack, Tara V
Credentials PH.D., ABPP-CN
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2006
Last updated Jul 16th, 2007 - about 18 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 1588681472 NPPES
Other 138995 BCBS
Other 255873 BCBS

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