Individual provider · Type 1 NPI

Tara Leigh Krog, PhD

Clinical Psychologist · Phoenix, AZ

NPI number 1710057104 Active

Practice location

2916 E Pierce
Phoenix, AZ 85004

Fax (480) 344-2114

Mailing address

2601 E. Roosevelt
Phoenix, AZ 85004

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X4025 (AZ)

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 1710057104

Tara Leigh Krog, PhD's National Provider Identifier is 1710057104, issued on Nov 9, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Phoenix, AZ. The record was last updated on Oct 7, 2011.