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General NPI Number Information
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NPI Number | 1215237003
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Entity Type | Individual
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Provider Name | LAURA TARR CNS-PMH
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Gender | Female
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Dates
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Enumeration Date | 10/26/2010
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 20545 CENTER RIDGE RD STE 305
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City | ROCKY RIVER
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State | OH
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Zip | 44116-3423
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Country | US
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Telephone | 216-789-3929
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Fax |
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Provider Business Mailing Address
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Address Line | 20545 CENTER RIDGE RD STE 305
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City | ROCKY RIVER
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State | OH
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Zip | 44116-3423
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Country | US
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Telephone | 440-568-6108
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | RN222955
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 364SP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | APRN.CNS.0019454
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License Number State | OH
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