Rezza, Tara Elise
Rezza, Tara Elise is an individual health care provider with primary practice located at 1028 Main St Fl 2 , Buffalo NY 14202-1102. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Rezza, Tara Elise can be contacted via phone (716) 859-5465.Contact Information
Primary practice address
1028 Main St Fl 2
Buffalo NY 14202-1102
Phone: (716) 859-5465
Fax: (716) 859-5585
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 026318 | New York |
Profile Details
| NPI number | 1811472566 |
|---|---|
| LBN Legal business name | Rezza, Tara Elise |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2018 |
| Last updated | Mar 11th, 2024 - about 2 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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