Healthcare Provider Details

I. General information

NPI: 1427249150
Provider Name (Legal Business Name): TARRAH ELIZABETH EGAN MA, MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2007
Last Update Date: 11/14/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2145 5TH AVE
OROVILLE CA
95965-5870
US

IV. Provider business mailing address

2145 5TH AVE
OROVILLE CA
95965-5870
US

V. Phone/Fax

Practice location:
  • Phone: 530-534-5394
  • Fax: 530-534-3820
Mailing address:
  • Phone: 530-534-5394
  • Fax: 530-534-3820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number52036
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: