Doctor Name: | JOHN ANTHONY TALLARIDO |
NPI Number: | 1174796296 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | SW7234 |
Business Practice Address: | 2084 Reston Cir Royal Palm Beach, FL - 334116112 |
Business Phone Number: | 5614220900 |
Business Fax Number: | 5614226005 |
Mailing Address: | 2084 Reston Cir, ROYAL PALM BEACH |
State: | FL |
Postal Code: | 334116112 |
Phone Number: | 5614220900 |
Fax Number: | 5614226005 |
NPI Enumeration Date: | 04/09/2008 |
NPI Last Update Date: | 04/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | SW7234 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |