Healthcare Provider Details

I. General information

NPI: 1114029220
Provider Name (Legal Business Name): BARBARA TAHLER LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

932 HUNGERFORD DR SUITE 2A
ROCKVILLE MD
20850-1713
US

IV. Provider business mailing address

803 FORDHAM ST
ROCKVILLE MD
20850-1019
US

V. Phone/Fax

Practice location:
  • Phone: 301-762-5797
  • Fax: 301-738-9639
Mailing address:
  • Phone: 301-340-1068
  • Fax: 301-738-9639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number06987
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: