Provider Demographics
NPI:1376723825
Name:AHLUVALIA, TARUNA (PHD)
Entity Type:Individual
Prefix:DR
First Name:TARUNA
Middle Name:
Last Name:AHLUVALIA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:TARUNA
Other - Middle Name:AHLUVALIA
Other - Last Name:BARBER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:8630 GUILFORD RD STE M
Mailing Address - Street 2:BOX 125
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-2654
Mailing Address - Country:US
Mailing Address - Phone:410-988-4975
Mailing Address - Fax:877-447-1224
Practice Address - Street 1:10440 SHAKER DR
Practice Address - Street 2:STE 209
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-1200
Practice Address - Country:US
Practice Address - Phone:410-988-4975
Practice Address - Fax:877-447-1224
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-13
Last Update Date:2009-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03612103TC2200X, 103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent