Tarrasch, David L

Tarrasch, David L is an individual health care provider with primary practice located at 2200 E Sunshine St Ste 332, Springfield MO 65804-1886. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Tarrasch, David L can be contacted via phone (417) 877-7500.

Contact Information

Primary practice address
2200 E Sunshine St Ste 332 Springfield MO 65804-1886
Phone: (417) 877-7500
Fax: (417) 877-7600
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 00194 Missouri

Profile Details

NPI number 1093786246
LBN Legal business name Tarrasch, David L
Credentials ED.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated May 29th, 2018 - about 7 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 1093786246 NPPES
Missouri MEDICAID 498203801

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