Individual
TARA REIDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
25111 COUNTRY CLUB BLVD, SUITE 290, NORTH OLMSTED, OH 44070-5345
(216) 831-6611
(216) 831-2726
Mailing address
24800 HIGHPOINT RD, SUITE B, BEACHWOOD, OH 44122-6052
(216) 831-6611
(216) 831-2726
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1481
OH
Other
Enumeration date
04/19/2010
Last updated
04/19/2010
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