| Doctor Name: | TARA LYNN SMITH-PRYBIL |
| NPI Number: | 1083883292 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S.ED., LMHC, LCPC |
| License Number: | 180.007054 |
| Business Practice Address: | 909 Main Street Suite 505 Dubuque, IA - 52001 |
| Business Phone Number: | 5635560699 |
| Business Fax Number: | 5635833077 |
| Mailing Address: | 909 Main Street, Suite 505 DUBUQUE |
| State: | IA |
| Postal Code: | 52001 |
| Phone Number: | 5635560699 |
| Fax Number: | 5635833077 |
| NPI Enumeration Date: | 02/22/2008 |
| NPI Last Update Date: | 03/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 180.007054 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |