Provider Demographics
NPI:1114029220
Name:TAHLER, BARBARA (LCSW-C)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:TAHLER
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:803 FORDHAM ST
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-1019
Mailing Address - Country:US
Mailing Address - Phone:301-340-1068
Mailing Address - Fax:301-738-9639
Practice Address - Street 1:932 HUNGERFORD DR
Practice Address - Street 2:SUITE 2A
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-1713
Practice Address - Country:US
Practice Address - Phone:301-762-5797
Practice Address - Fax:301-738-9639
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD06987101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health