Individual
DR. PENELOPE A TARASUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
8 MOUNTAIN RD, SOUTH DEERFIELD, MA 01373-1128
(413) 665-2361
Mailing address
8 MOUNTAIN RD, SOUTH DEERFIELD, MA 01373-1128
(413) 665-2361
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
000315
NY
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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