Individual
DR. PAUL THOMAS TAREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
480 PIERCE ST, SUITE 115, KINGSTON, PA 18704-5512
(570) 718-1740
(570) 718-1741
Mailing address
480 PIERCE ST, SUITE 115, KINGSTON, PA 18704-5512
(570) 718-1740
(570) 718-1741
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS008663L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019393680001
—
PA
Enumeration date
07/20/2005
Last updated
07/08/2007
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