Individual
TARRA ANNE COMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 N WESTHAVEN DR, OSHKOSH, WI 54904-6947
(920) 456-2030
Mailing address
700 N WESTHAVEN DR, OSHKOSH, WI 54904-6947
(920) 456-2030
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
3685-57
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100093331
—
WI
Enumeration date
07/13/2012
Last updated
05/12/2022
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