Individual
TARA MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
48 FAIRWAY RDG, CLOVER, SC 29710
(901) 270-7499
Mailing address
48 FAIRWAY RDG, CLOVER, SC 29710-9209
(901) 270-7499
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6930
OH
Other
Enumeration date
11/01/2013
Last updated
09/11/2025
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