Provider Demographics
NPI:1508103839
Name:PALOMBA, TARZ FAITH (JD LP NCPSYA)
Entity Type:Individual
Prefix:DR
First Name:TARZ
Middle Name:FAITH
Last Name:PALOMBA
Suffix:
Gender:F
Credentials:JD LP NCPSYA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 HARVARD TER
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-4407
Mailing Address - Country:US
Mailing Address - Phone:973-865-0691
Mailing Address - Fax:
Practice Address - Street 1:10 HARVARD TER
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-4407
Practice Address - Country:US
Practice Address - Phone:201-618-9611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-07
Last Update Date:2023-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000898102L00000X
NJ48PA0000280102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst