Individual provider · Type 1 NPI

Tara Jean Rose, PSYD

Psychologist · Charlotte, NC

NPI number 1417670670 Active

Practice location

1001 Blythe Blvd Ste 4200
Charlotte, NC 28203-5866

Other practice locations

  • 7 Richland Medical Park Dr Ste 215, Columbia, SC 29203-6863 · (803) 434-3533

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000X1752 (SC)
Psychologist Primary 103T00000X6935 (NC)
Clinical Psychologist 103TC0700XPSY1752 (SC)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1417670670

Tara Jean Rose, PSYD's National Provider Identifier is 1417670670, issued on Sep 22, 2022. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Charlotte, NC. The record was last updated on Nov 13, 2025.