Provider Demographics
NPI:1275600389
Name:REED, TARA ELIZABETH (MA, MHRS)
Entity Type:Individual
Prefix:MS
First Name:TARA
Middle Name:ELIZABETH
Last Name:REED
Suffix:
Gender:F
Credentials:MA, MHRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4542 CIMARRON RIVER CT
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95136-2760
Mailing Address - Country:US
Mailing Address - Phone:408-876-4219
Mailing Address - Fax:408-876-4230
Practice Address - Street 1:232 E GISH RD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95112-4706
Practice Address - Country:US
Practice Address - Phone:408-876-4230
Practice Address - Fax:408-876-4230
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health