Boadu, Tara M.
Boadu, Tara M. is an sole proprietor health care provider with primary practice located at 4530 S Berkeley Lake Rd Suite B, Norcross GA 30071-1660. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Boadu, Tara M. can be contacted via phone (770) 417-2724.Contact Information
Primary practice address
4530 S Berkeley Lake Rd Suite B
Norcross GA 30071-1660
Phone: (770) 417-2724
Fax: (770) 446-5643
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY003163 | Georgia |
Profile Details
| NPI number | 1497905863 |
|---|---|
| LBN Legal business name | Boadu, Tara M. |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 23rd, 2008 |
| Last updated | Sep 23rd, 2008 - 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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