MEDICARE: TARA STRONG LCP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	300	KS

General Provider Information

NPI Number	:	1376516187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARA STRONG LCP

Provider Business Mailing Address
First Line	:	8787 BALLENTINE
Second Line	:	SUITE 1200
City	:	OVERLAND PARK
State	:	KS
Zip	:	66214
Country	:	US
Telephone Number	:	913-339-9933
Fax Number	:	913-339-9915

Provider Business Practice Location Address
First Line	:	480 S ROGERS RD
Second Line	:
City	:	OLATHE
State	:	KS
Zip	:	66062-1706
Country	:	US
Telephone Number	:	913-324-3823
Fax Number	:	913-768-1437

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2006
Last Update Date	:	04/14/2021

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Directions to “ TARA STRONG LCP” Practice Location

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