Provider Demographics
NPI:1740203793
Name:TARR, LINDA HAAS (PHD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:HAAS
Last Name:TARR
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:JOAN
Other - Last Name:HAAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5276 DAWES AVE
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22311-1404
Mailing Address - Country:US
Mailing Address - Phone:703-379-7350
Mailing Address - Fax:703-379-7352
Practice Address - Street 1:5276 DAWES AVE
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22311-1404
Practice Address - Country:US
Practice Address - Phone:703-379-7350
Practice Address - Fax:703-379-7352
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810002282103TC0700X
DCPSY 1041103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA001296OtherTRICARE, VALUE OPTIONS
VA4890-0005OtherCAREFIRST
VA11234162OtherCAQH
VA215421OtherMDIPA, MAMSI, OPTIMUM
VA117243OtherKAISER
VA1819641OtherFIRST HEALTH
VA247324OtherONE HEALTH PLAN
VA274469OtherANTHEM
VA78478OtherUBH
VAPVPB6080OtherAPS
VA718304OtherNCPPO
VA247324OtherONE HEALTH PLAN