Provider Demographics
NPI:1720623432
Name:VEERMAN, TARA (PHD, LCSW)
Entity Type:Individual
Prefix:DR
First Name:TARA
Middle Name:
Last Name:VEERMAN
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 WOODMONT CT
Mailing Address - Street 2:
Mailing Address - City:MT ARLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07856-1442
Mailing Address - Country:US
Mailing Address - Phone:973-713-7287
Mailing Address - Fax:
Practice Address - Street 1:122 MAIN ST STE 101
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:NJ
Practice Address - Zip Code:07860-2043
Practice Address - Country:US
Practice Address - Phone:862-354-9014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-18
Last Update Date:2019-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical