Individual
MARK A TARANGIOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D. LLC
Contact information
Practice address
3804 CHURCH RD, MOUNT LAUREL, NJ 08054-1106
(856) 761-4823
Mailing address
3804 CHURCH RD, MOUNT LAUREL, NJ 08054-1106
(856) 761-4823
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
002418
CT
103TC0700X
Clinical Psychologist
Primary
35SI00448000
NJ
Other
Enumeration date
09/20/2006
Last updated
12/31/2014
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