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MS. TARA LEIGH KROG PHD NPI 1710057104


NPI Information

NPI: 1710057104
Provider Name: MS. TARA LEIGH KROG, PHD
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

Organization: DISTRICT MEDICAL GROUP INC

PECOS Registration: Yes

Address:
2916 E PIERCE
PHOENIX, AZ
ZIP 85004
Phone: (602) 344-5982
Get Directions

MS. Tara Leigh Krog, PHD is a clinical psychologist in Phoenix, AZ with 15 years of experience. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. MS. Tara Leigh Krog, PHD NPI is 1710057104. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: SANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Graduation Year:2009

The provider's business location address is:

2916 E PIERCE
PHOENIX, AZ
ZIP 85004
Phone: (602) 344-5982
Fax: (480) 344-2114

The NPI 1710057104 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 10/7/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinical4025ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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