Bryan, Tara Rahdika
Bryan, Tara Rahdika is an individual health care provider with primary practice located at 1500 Route 88 , Brick NJ 08724-2320. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Bryan, Tara Rahdika can be contacted via phone (732) 367-4700.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 44SL06451500 | New Jersey |
Profile Details
| NPI number | 1821655358 |
|---|---|
| LBN Legal business name | Bryan, Tara Rahdika |
| Credentials | MSW, LSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2019 |
| Last updated | May 20th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821655358 | NPPES |
| New Jersey | MEDICAID | 0029807 |
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