Individual provider · Type 1 NPI

Tacie Lee Vergara, PSY.D.

Clinical Psychologist · Wyndmoor, PA

NPI number 1295852846 Active

Practice location

8200 Flourtown Ave Frnt 1A
Wyndmoor, PA 19038-7969

Fax (215) 842-2955

Mailing address

280 W Haines St
Philadelphia, PA 19144-3319

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPS015770 (PA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1295852846

Tacie Lee Vergara, PSY.D.'s National Provider Identifier is 1295852846, issued on Mar 26, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Wyndmoor, PA. The record was last updated on Jun 30, 2025.