Doctor Name: | REBECCA SUE TARABORRELLI |
NPI Number: | 1134356587 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | |
Business Practice Address: | 3 Kensington Sq New Kensington, PA - 150686443 |
Business Phone Number: | 7243359733 |
Business Fax Number: | |
Mailing Address: | 208 Washington Ave, VANDERGRIFT |
State: | PA |
Postal Code: | 156901206 |
Phone Number: | 7245683270 |
Fax Number: | |
NPI Enumeration Date: | 06/12/2009 |
NPI Last Update Date: | 06/12/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |