Tara Ulis, LCSW

NPI 1205113826 · on the registry since 2011

Practice

Address: 102 W Kenwood Ave Ste 120a
Decatur, IL 62526
Phone: (217) 520-1047
Organisation at this address: Drs Graham & Graham Ltd
Decatur Memorial Hospital
Board Of Trustees Of Southern Illinois University
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 62

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2011-11-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois