Individual
TARA MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1747 W ROOSEVELT RD, 155 WORB, CHICAGO, IL 60608-1264
(312) 996-3910
Mailing address
1747 W ROOSEVELT RD, 155 WORB, CHICAGO, IL 60608-1264
(312) 996-3910
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.008073
IL
Other
Enumeration date
12/23/2013
Last updated
12/23/2013
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