NPI Lookup

NPI Lookup from the NPI Registry — National Provider Identifier Database

TARA R TANAKA, PhD – NPI #1114088184
Clinical Neuropsychologist

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.


Contact Information

TARA R TANAKA, PhD
4141 GEARY BLVD
SAN FRANCISCO, CA94118-3109
 Phone: 415-833-5103
 Fax:
 Website:
 

Taxonomy / Specialty

Taxonomy Code

Clinical Neuropsychologist

103G00000X
Indicates primary specialty
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NPI Information for TARA R TANAKA · (Female)

NPI Number 1114088184
Credentials PhD
Entity Individual
Enumeration date 12/13/2006
Last updated 07/08/2007 - About 7 years ago
Sole proprietor 1 No
Identifiers
CA License # PSB 31472
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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