Tara Schoppe, M.ED, EDS
Individual provider Active NPI School Psychologist · Manhattan, IL
NPI 1629637418 · NPPES record last updated Jun 6, 2019
Key facts
- NPI
- 1629637418
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- Practice address
- 200 2ND St
Manhattan, IL 60442-8104 - Phone
- (815) 478-3310
- NPI assigned
- Jun 6, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Education
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | IL | Yes |
Addresses
Primary practice location
200 2ND St
Manhattan, IL 60442-8104
Mailing address
200 2ND St
Manhattan, IL 60442-8104
Phone (815) 478-3310
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All providers in Manhattan, IL · School Psychologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.