Tara Devineni Lcsw LLC
NPI #1871008706 in Berwyn, Pennsylvania
Provider Information
- NPI Number
- 1871008706
- Entity Type
- Organization
- Organization Name
- Tara Devineni Lcsw LLC
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Dec 14, 2017
- Last Updated
- Dec 14, 2017
Practice Location
- Address
- 1137 LANCASTER AVE
- City
- Berwyn
- State
- Pennsylvania
- ZIP Code
- 19312-1243
- Phone
- (484) 424-7218
Authorized Official
- Name
- TARA DEVINENI, LCSW
- Title
- LICENSED CLINICAL SOCIAL WORKER
- Phone
- (484) 424-7218
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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