Kellogg, Tara Marie
Kellogg, Tara Marie is an sole proprietor health care provider with primary practice located at 3521 W Broward Blvd 3Rd Floor, Ft Lauderdale FL 33312-1048. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Kellogg, Tara Marie can be contacted via phone (954) 587-1008.Contact Information
Primary practice address
3521 W Broward Blvd 3Rd Floor
Ft Lauderdale FL 33312-1048
Phone: (954) 587-1008
Fax: (954) 587-0080
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MT2003 | Florida |
Profile Details
| NPI number | 1023267416 |
|---|---|
| LBN Legal business name | Kellogg, Tara Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 10th, 2008 |
| Last updated | Sep 10th, 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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