National Provider Identifier
Tara Elise Rezza, PSY.D.
Tara Elise Rezza, PSY.D. is listed in the NPPES registry with a primary specialty of Psychologist in Buffalo, NY and a listed phone number of (716) 859-5465.
Profile Overview
- NPI
- 1811472566
- Provider Type
- Individual
- Primary Specialty
- Psychologist
- Enumeration Date
- September 28, 2018
- Last Updated
- March 11, 2024
Practice Location
- 1028 Main St Fl 2
- Buffalo, NY 14202-1102
Phone: (716) 859-5465
Specialties
- Psychologist (103T00000X)
- Counselor (101Y00000X)
Full Record
- NPI
- 1811472566
- Entity Type
- Individual
- Last Name
- Rezza
- First Name
- Tara
- Middle Name
- Elise
- Name Prefix
- Dr.
- Credential
- PSY.D.
- Provider Other Last Name
- Benczkowski
- Provider Other First Name
- Tara
- Provider Other Name Prefix Text
- Dr.
- Provider Other Credential Text
- PSY.D.
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 1028 Main St Fl 2
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14202-1102
- Mailing Country
- US
- Mailing Phone
- (716) 859-5465
- Mailing Fax
- (716) 859-5585
- Practice Street Address
- 1028 Main St Fl 2
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14202-1102
- Practice Country
- US
- Practice Phone
- (716) 859-5465
- Practice Fax
- (716) 859-5585
- Enumeration Date
- September 28, 2018
- Last Updated
- March 11, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 11, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychologist (103T00000X), Counselor (101Y00000X)