Individual
LOUIS WILLIAM TARASI
Active
Individual
LOUIS WILLIAM TARASI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PY 4860
FL
103TB0200X
Cognitive & Behavioral Psychologist
PY 4860
FL
103TC0700X
Clinical Psychologist
Primary
PY 4860
FL
Other
Enumeration date
06/01/2011
Last updated
10/25/2011
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