Pannullo, Tarra Lynn

Pannullo, Tarra Lynn is an individual health care provider with primary practice located at 9000 Sheridan St , Pembroke Pines FL 33024-8802. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Pannullo, Tarra Lynn can be contacted via phone (954) 440-6386.

Contact Information

Primary practice address
9000 Sheridan St Pembroke Pines FL 33024-8802
Phone: (954) 440-6386
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X IMH21446 Florida

Profile Details

NPI number 1679965438
LBN Legal business name Pannullo, Tarra Lynn
Credentials MA, NCC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2015
Last updated Aug 17th, 2022 - about 4 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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