Tanaka, Tara Renee
Tanaka, Tara Renee is an individual health care provider with primary practice located at 1600 California Drive , Vacaville CA 95696. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Tanaka, Tara Renee can be contacted via phone (707) 430-1165.Contact Information
Primary practice address
1600 California Drive
Vacaville CA 95696
Phone: (707) 430-1165
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 21641 | California |
Profile Details
| NPI number | 1114088184 |
|---|---|
| LBN Legal business name | Tanaka, Tara Renee |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Mar 29th, 2022 - about 3 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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