Individual
TARA EDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
15260 VENTURA BLVD FL 12, SHERMAN OAKS, CA 91403-5334
(203) 921-7037
Mailing address
15234 LA MAIDA ST, SHERMAN OAKS, CA 91403-1920
(203) 921-7037
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
3685
CA
Other
Enumeration date
02/24/2018
Last updated
03/17/2018
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