Dr Tara Jean Rose, PSYD | |
7 Richland Medical Park Dr Ste 215, Columbia, SC 29203-6863 | |
(803) 434-3533 | |
(803) 434-3904 |
Full Name | Dr Tara Jean Rose |
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Gender | Female |
Speciality | Psychologist |
Location | 7 Richland Medical Park Dr Ste 215, Columbia, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417670670 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PSY1752 (South Carolina) | Secondary |
103T00000X | Psychologist | 1752 (South Carolina) | Primary |
Entity Name | Prisma Health Medical Group-midlands |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275988321 PECOS PAC ID: 5991099707 Enrollment ID: O20160802001226 |
Mailing Address | Practice Location Address |
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Dr Tara Jean Rose, PSYD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603 | Dr Tara Jean Rose, PSYD 7 Richland Medical Park Dr Ste 215, Columbia, SC 29203-6863 Ph: (803) 434-3533 |
Dr. Barbara H. Hartt, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1330 Richland St, Columbia, SC 29201 Phone: 803-254-9649 | |
Dr. Virginia Galloway Cooper, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2917 Millwood Ave., Ste. B, Columbia, SC 29205 Phone: 803-877-6151 | |
Dr. Lois Pall Wandersman, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1512 Laurel St, Columbia, SC 29201 Phone: 803-252-5455 Fax: 803-252-5455 | |
Dr. Elizabeth Chesno Grier, PHD AND NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3612 Landmark Dr, Suite B, Columbia, SC 29204 Phone: 803-309-5231 Fax: 803-782-1420 | |
Shantel Edmonds, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6439 Garners Ferry Rd, Route 116, Columbia, SC 29209 Phone: 803-776-4000 | |
Dr. Anna Christine Schmieg, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6439 Garners Ferry Rd, Columbia, SC 29209 Phone: 803-776-4000 | |
Dr. Nevelyn Noblit Trumpeter, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1816 Bull St, Columbia, SC 29201 Phone: 803-422-0017 |