Individual
DR. TARA WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
987 OLD EAGLE SCHOOL RD, SUITE 719, WAYNE, PA 19087-1708
(610) 971-2277
Mailing address
1500 GREEN ST, APT. C, PHILADELPHIA, PA 19130-4038
(607) 759-6165
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS017523
PA
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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