Tara Acevedo, Psy.d., PC

NPI #1073968061 in Columbia, Maryland

Provider Information

NPI Number: 1073968061
Entity Type: Organization
Organization Name: Tara Acevedo, Psy.d., PC
Primary Specialty: Psychologist - Clinical
Enumeration Date: Apr 27, 2016
Last Updated: Apr 27, 2016

Practice Location

Address: 6213 DEEP EARTH LN
City: Columbia
State: Maryland
ZIP Code: 21045-2565
Phone: (610) 217-0821

Authorized Official

Name: DR. TARA ACEVEDO, PSY.D.
Title: EXECUTIVE DIRECTOR
Phone: (610) 217-0821

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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