Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 002509 | CT |
NPI | 1104939677 |
---|---|
Provider Name | Dr. Barbara J Tarkin |
First Address | Bloomfield, CT 06002-3463 |
Second Address | Bloomfield, CT 06002-3463 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2006 |
Last Update Date | 08/07/2007 |