Provider Demographics
NPI:1962275412
Name:SCHON, TARA ANN (MSED)
Entity type:Individual
Prefix:
First Name:TARA
Middle Name:ANN
Last Name:SCHON
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:TARA
Other - Middle Name:ANN
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 71
Mailing Address - Street 2:
Mailing Address - City:BRONSON
Mailing Address - State:IA
Mailing Address - Zip Code:51007-0071
Mailing Address - Country:US
Mailing Address - Phone:712-203-5769
Mailing Address - Fax:
Practice Address - Street 1:1221 PIERCE ST
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51105-1418
Practice Address - Country:US
Practice Address - Phone:712-255-0204
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA120886101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health