Individual
DR. DAVID L TARRASCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
2200 E SUNSHINE ST, STE 332, SPRINGFIELD, MO 65804-1886
(417) 877-7500
(417) 877-7600
Mailing address
2200 E SUNSHINE ST, STE 332, SPRINGFIELD, MO 65804-1886
(417) 877-7500
(417) 877-7600
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
00194
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
498203801
—
MO
Enumeration date
01/27/2006
Last updated
05/29/2018
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