Tara V Spevack in Saint Louis - Clinical Neuropsychologist
Tara V Spevack - NPI 1588681472
Tara V Spevack is a Clinical Neuropsychologist in Saint Louis, Missouri. Tara V Spevack practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Tara V Spevack is 1588681472. The last update date is 2007-07-16.
Tara V Spevack's current location address is 1 Childrens Pl, Saint Louis, Missouri. You can contact this provider via phone number 3144546069 and fax number 3144544576. The mailing address for Tara V Spevack is 1 Childrens Pl, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tara V Spevack |
|---|---|
| Address | 1 Childrens Pl, Saint Louis, Missouri |
| Phone Number | 3144546069 |
| Fax Number | 3144544576 |
| Sole Proprietor | N |
| Credentials | PH.D., ABP |
NPI Number Detail
| NPI Number | 1588681472 |
|---|---|
| Provider Enumeration Date | 2006-07-16 |
| Last Updated Date | 2007-07-16 |
Provider Mailing Address Detail
| Address | 1 Childrens Pl |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631101002 |
| Phone Number | 3144546069 |
| Fax Number | 3144544576 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | 1999135246 |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 138995 | BCBS | ||
| 255873 | UBH |
Post Comment/ Review Below
What is the Tara V Spevack's 1588681472?
The Tara V Spevack's NPI (National Provider Identifier) Number is 1588681472. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Tara V Spevack is physically located?
The Tara V Spevack is physically situated at the following address: 1 Childrens Pl, Saint Louis, MO, 631101002.
What is the area of specialization for Tara V Spevack, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Tara V Spevack is Clinical Neuropsychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103G00000X.
On what date was the 1588681472 assigned to Tara V Spevack?
The Tara V Spevack was issued its 1588681472 on 2006-07-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Tara V Spevack's information last updated?
The Tara V Spevack's information was last updated on 2007-07-16.