Ms Tara Marie Coghlin Dickson, - Dietitian in Mill Valley, CA

Ms Tara Marie Coghlin Dickson, is a Dietitian, Registered - Nutrition, Sports Dietetics based in Mill Valley, California. Ms Tara Marie Coghlin Dickson is licensed to practice in * (Not Available) (license number ) and her current practice location is 289 Ricardo Rd, Mill Valley, California. She can be reached at her office (for appointments etc.) via phone at (415) 548-0340.

NPI number for Ms Tara Marie Coghlin Dickson is 1336003581 and her current mailing address is 289 Ricardo Rd, Mill Valley, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336003581.

Contact Information

Ms Tara Marie Coghlin Dickson,
289 Ricardo Rd,
Mill Valley, CA 94941-2573
(415) 548-0340
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMs Tara Marie Coghlin Dickson
GenderFemale
SpecialityDietitian, Registered - Nutrition, Sports Dietetics
Location289 Ricardo Rd, Mill Valley, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1336003581
  • Provider Enumeration Date: 12/11/2025
  • Last Update Date: 12/11/2025

Medical Identifiers

Medical identifiers for Ms Tara Marie Coghlin Dickson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336003581NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133VN1301XDietitian, Registered - Nutrition, Oncology (* (Not Available))Secondary
133VN1501XDietitian, Registered - Nutrition, Sports Dietetics (* (Not Available))Primary
133V00000XDietitian, Registered (* (Not Available))Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Tara Marie Coghlin Dickson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Tara Marie Coghlin Dickson,
289 Ricardo Rd,
Mill Valley, CA 94941-2573

Ph: (415) 548-0340
Ms Tara Marie Coghlin Dickson,
289 Ricardo Rd,
Mill Valley, CA 94941-2573

Ph: (415) 548-0340

Reviews and Comments


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