Individual
DR. TARA CORINNE TUBBESING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
600 E 5TH ST, FULTON, MO 65251-1753
(573) 592-2731
Mailing address
600 E 5TH ST, FULTON, MO 65251-1753
(573) 592-2731
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2010032219
MO
Other
Enumeration date
08/27/2009
Last updated
12/13/2011
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