Individual
DR. DAVID B. TARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH. D., HSPP
Contact information
Practice address
4401 CENTRAL AVE, INDIANAPOLIS, IN 46205-1822
(317) 923-2333
(317) 923-2367
Mailing address
4401 CENTRAL AVE, INDIANAPOLIS, IN 46205-1822
(317) 923-2333
(317) 923-2367
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20010518
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000275547
ANTHEM PIN NUMBER
—
05
—
100172790
—
IN
Enumeration date
07/05/2006
Last updated
07/08/2007
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