| Dr Tara Ann Miskovich, PHD | |
|
5342 Dudley Blvd, Mcclellan, CA 95652-1012 | |
| (916) 561-7629 | |
| Not Available |
| Full Name | Dr Tara Ann Miskovich |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 5342 Dudley Blvd, Mcclellan, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538702881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 31323 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tara Ann Miskovich, PHD 5342 Dudley Blvd, Mcclellan, CA 95652-1012 Ph: Not Available | Dr Tara Ann Miskovich, PHD 5342 Dudley Blvd, Mcclellan, CA 95652-1012 Ph: (916) 561-7629 |
Emily Rose Toller, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5342 Dudley Blvd, Mcclellan, CA 95652 Phone: 916-561-7725 |
Jennifer R Marzion, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5112 Arnold Ave Unit A, Mcclellan, CA 95652 Phone: 916-516-6193 |
Lindsey Cutler, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5112 Arnold Ave, Mcclellan, CA 95652 Phone: 916-817-7304 |
Jaclyn Moreno, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5112 Arnold Ave, Mcclellan, CA 95652 Phone: 209-314-9598 |
Dr. Karen Shebuski, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5342 Dudley Blvd Bldg 88, Mcclellan, CA 95652 Phone: 916-561-7400 |
Dr. Brian A Dahmen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5342 Dudley Blvd, Mcclellan, CA 95652 Phone: 916-561-7687 |
Mary Kate Humphreys, EDS, NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5112 Arnold Ave Ste A, Mcclellan, CA 95652 Phone: 916-844-5630 |