Doctor Name: | TARA L BROPHY |
NPI Number: | 1316284128 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | 44SC05506200 |
Business Practice Address: | 215 Highland Ave Suite C Haddon Township, NJ - 081082634 |
Business Phone Number: | 8562209375 |
Business Fax Number: | |
Mailing Address: | 215 Highland Ave, Suite C HADDON TOWNSHIP |
State: | NJ |
Postal Code: | 081082634 |
Phone Number: | 8562209375 |
Fax Number: | |
NPI Enumeration Date: | 01/14/2013 |
NPI Last Update Date: | 05/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC05506200 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |