| Doctor Name: | SCHANDA TARKOWSKI |
| NPI Number: | 1043670078 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 6401015326 |
| Business Practice Address: | 126 Washington Ave Bay City, MI - 487085846 |
| Business Phone Number: | 9896847977 |
| Business Fax Number: | 9896844331 |
| Mailing Address: | 443 N State St, CARO |
| State: | MI |
| Postal Code: | 487231539 |
| Phone Number: | 9896726160 |
| Fax Number: | 9896725649 |
| NPI Enumeration Date: | 03/03/2016 |
| NPI Last Update Date: | 03/03/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 6401015326 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |