Taren, Paul Thomas

Taren, Paul Thomas is an sole proprietor health care provider with primary practice located at 480 Pierce St Suite 115, Kingston PA 18704-5512. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Taren, Paul Thomas can be contacted via phone (570) 718-1740.

Contact Information

Primary practice address
480 Pierce St Suite 115 Kingston PA 18704-5512
Fax: (570) 718-1741
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS008663L Pennsylvania

Profile Details

NPI number 1467451591
LBN Legal business name Taren, Paul Thomas
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2005
Last updated Jul 8th, 2007 - about 19 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 1467451591 NPPES
Pennsylvania MEDICAID 0019393680001

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