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Individual

DR. ANTHONY MICHAEL TARESCAVAGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
16600 W SPRAGUE RD STE 260, MIDDLEBURG HEIGHTS, OH 44130-6319
(216) 714-0092
(216) 714-0092
Mailing address
7828 W LIST LN, PARMA, OH 44130-7129
(440) 547-8163

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
7458
OH
103TC0700X
Clinical Psychologist
Primary
7458
OH
103TF0200X
Forensic Psychologist
7458
OH

Other

Enumeration date
02/04/2020
Last updated
01/22/2022
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