Individual
TARA STARK
Active
Individual
TARA STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
021661
NY
103T00000X
Psychologist
39172
TX
103T00000X
Psychologist
PSY.0006305
CO
103T00000X
Psychologist
PY10427
FL
103TC0700X
Clinical Psychologist
021661
NY
103TC0700X
Clinical Psychologist
Primary
39172
TX
103TC0700X
Clinical Psychologist
PSY-2025-0063
NM
103TC0700X
Clinical Psychologist
PSY.0006305
CO
103TC0700X
Clinical Psychologist
PY10427
FL
Other
Enumeration date
09/16/2019
Last updated
04/24/2026
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