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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ANTHONY MICHAEL TARESCAVAGE, PHD

Active Sole Proprietor

DR. ANTHONY MICHAEL TARESCAVAGE, PHD is a Clinical Psychologist healthcare provider located in MIDDLEBURG HEIGHTS, Ohio. NPI 1083245468 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · MIDDLEBURG HEIGHTS, OH

Registration Details

NPI Number
1083245468
Provider Type
Individual
Gender
Male
NPI Issued
Feb 4, 2020 (6.5400027557409 yrs)
Last Updated
Jan 22, 2022
Licenses
7458 (OH)
7458 (OH)
7458 (OH)
Sole Proprietor
Yes

Practice Information

Address
16600 W SPRAGUE RD STE 260
MIDDLEBURG HEIGHTS, OH, 441306319
Browse OH providers · Browse ZIP 44130
Phone
2167140092
Fax
2167140092
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Forensic Psychologist
Additional Specialty
Clinical Psychologist

Other Clinical Psychologist Providers in MIDDLEBURG HEIGHTS, OH

Name Credential NPI
DR. VIRGINIA B COLLINGS PHD 1942239066
DR. MICHAEL CHARLES MADISON PHD 1144366725
AMY JUSTICE 1609447499
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.