Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. TARA MARIE COGHLIN DICKSON
Active Sole ProprietorSports Dietetics · MILL VALLEY, CA
Registration Details
- NPI Number
- 1336003581
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 11, 2025 (0.36200523444394 yrs)
- Last Updated
- Dec 11, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
289 RICARDO RDMILL VALLEY, CA, 949412573Browse CA providers · Browse ZIP 94941
- Phone
- 4155480340
- Primary Specialty
-
Sports Dietetics
133VN1501X
- Additional Specialty
- Sports Dietetics
- Additional Specialty
- Registered Dietitian
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.