Active NPIIndividual provider

Tara M Lally, PHD LPC

Psychologist in Brick, New Jersey

NPI Number1760641344
Practice location
1610 Route 88 W, Brick, NJ 08724-3018
Fax
—
Last updated
September 22, 2022

Tara Marie Lally is a Psychologist based in Brick, NJ. Tara Marie Lally practices in Brick, NJ and has the professional credentials of PHD LPC. The NPI Number for Tara Marie Lally is 1760641344 and holds a License No. 35SI00491300 (NJ). The current practice location address for Tara Marie Lally is 1610 Route 88 W, Brick, NJ 08724-3018 and can be reached out via phone at 732-295-6543.

Provider Profile Details

NPI Number
1760641344
Provider Name
Tara Marie Lally
Credential
PHD LPC
Provider Entity Type
Individual
Gender
Female
Address
1610 Route 88 W, Brick, NJ 08724-3018
Phone Number
732-295-6543
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
No
Provider Enumeration Date
June 9, 2008
Last Update Date
September 22, 2022
Certification Date
September 22, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1610 Route 88 W
Brick, NJ 08724-3018
City
Brick
Zip
08724-3018
Phone Number
732-295-6543
Brick, NJ 08724Get directions →

Provider Business Mailing Address Details

Address
1610 Route 88 W
Brick, NJ 08724-3018
City
Brick
State
NJ
Zip
08724-3018
Phone Number
732-295-6543

License Information

License Number
35SI00491300
License State
NJ
Taxonomy
Psychologist · 103T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tara M Lally, PHD LPC?

The NPI number of Tara M Lally, PHD LPC is 1760641344. It was assigned on June 9, 2008 and is currently active in the NPPES registry.

What is the specialty of Tara M Lally, PHD LPC?

Tara M Lally, PHD LPC is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in NJ under license number 35SI00491300.

Where does Tara M Lally, PHD LPC practice?

The practice location is 1610 Route 88 W, Brick, NJ 08724-3018. The office can be reached at 732-295-6543 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1760641344 directly on the NPPES registry website.

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