DR. Tara A. Maddalena, PSY. D.

NPI #1144362906 in Northport, New York

Provider Information

NPI Number: 1144362906
Entity Type: Individual
Name: DR. Tara A. Maddalena, PSY. D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PSY. D.
Enumeration Date: Feb 12, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 256 MAIN ST
Address 2: SUITE 1108
City: Northport
State: New York
ZIP Code: 11768-1733
Phone: (631) 901-2640

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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