Individual
DR. TARA STAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1419 CLIFTON ST NW, #203, WASHINGTON, DC 20009-4557
(202) 445-4700
Mailing address
1419 CLIFTON ST NW, #203, WASHINGTON, DC 20009-4557
(202) 445-4700
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
04881
MD
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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