Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | ||
Y | 103TC1900X | Counseling Psychologist | 6315 | OH |
N | 103TF0000X | Family Psychologist | ||
N | 103TH0100X | Health Service |
NPI | 1144745977 |
---|---|
Provider Name | Tara Hogan Scarborough |
First Address | Cincinnati, OH 45219 |
Second Address | Cincinnati, OH 45219 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2017 |
Last Update Date | 17/08/2017 |