Walsh, Tara
Walsh, Tara is an individual health care provider with primary practice located at 666 Godwin Ave Ste 100 , Midland Park NJ 07432-1463. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Walsh, Tara can be contacted via phone (201) 444-8110.Contact Information
Primary practice address
666 Godwin Ave Ste 100
Midland Park NJ 07432-1463
Phone: (201) 444-8110
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 37AC00342000 | New Jersey |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 37PC00684600 | New Jersey |
Profile Details
| NPI number | 1952844102 |
|---|---|
| LBN Legal business name | Walsh, Tara |
| Credentials | LPC, LCADC, ACS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2016 |
| Last updated | May 11th, 2023 - about 3 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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