DR. Carol Ann Tageson, PSY.D

NPI #1639208481 in South Bend, Indiana

Provider Information

NPI Number: 1639208481
Entity Type: Individual
Name: DR. Carol Ann Tageson, PSY.D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PSY.D
Enumeration Date: Mar 5, 2007
Last Updated: Jul 16, 2007

Practice Location

Address: 828 E COLFAX AVE
City: South Bend
State: Indiana
ZIP Code: 46617-2804
Phone: (574) 233-3003

Specialties & Taxonomy Codes

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

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