Individual
DR. TARA F. DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
101 PARK ST, MONTCLAIR, NJ 07042-2963
(973) 746-2190
Mailing address
23 RIVERVIEW DR, MONTCLAIR, NJ 07043-2606
(973) 746-2190
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3449
NJ
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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