Walsh, Tara

Walsh, Tara is an individual health care provider with primary practice located at 666 Godwin Ave Ste 100 , Midland Park NJ 07432-1463. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Walsh, Tara can be contacted via phone (201) 444-8110.

Contact Information

Primary practice address
666 Godwin Ave Ste 100 Midland Park NJ 07432-1463
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 37AC00342000 New Jersey
Behavioral Health & Social Service Providers / Professional 101YP2500X 37PC00684600 New Jersey

Profile Details

NPI number 1952844102
LBN Legal business name Walsh, Tara
Credentials LPC, LCADC, ACS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2016
Last updated May 11th, 2023 - about last year

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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