Provider Demographics
NPI:1295440295
Name:TARLOW, NAOMI (PHD)
Entity type:Individual
Prefix:DR
First Name:NAOMI
Middle Name:
Last Name:TARLOW
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1625 N COMMERCE PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-3206
Mailing Address - Country:US
Mailing Address - Phone:954-753-1112
Mailing Address - Fax:954-753-1112
Practice Address - Street 1:1625 N COMMERCE PKWY STE 200
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-3206
Practice Address - Country:US
Practice Address - Phone:954-753-1112
Practice Address - Fax:954-753-1112
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-16
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist