Individual
TARA MAZZOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 ALABAMA AVE SE, WASHINGTON, DC 20032-4542
(202) 299-5420
Mailing address
1100 ALABAMA AVE SE, WASHINGTON, DC 20032-4542
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
07429
MD
103TC0700X
Clinical Psychologist
0810005883
VA
103TC0700X
Clinical Psychologist
Primary
PSY1001423
DC
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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