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Individual

SARAH JEAN TARTAR

Active
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Individual

SARAH JEAN TARTAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
003072
CT
103G00000X
Clinical Neuropsychologist
Primary
096569
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008030728
CT
Enumeration date
12/27/2009
Last updated
11/16/2023
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