Individual
TARA OHRT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, HSP
Contact information
Practice address
1303 5TH ST STE 202, CORALVILLE, IA 52241-2939
(319) 358-6520
Mailing address
1303 5TH ST STE 202, CORALVILLE, IA 52241-2939
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
110723
IA
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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