Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tara Acevedo, Psy D , PC

Organization Clinical Psychologist · NPI 1073968061

Tara Acevedo, Psy D , PC is a Clinical Psychologist in Columbia, Maryland. Licensed in Maryland. Registered with an NPI since 2016.

Licensed in
MD
In the registry since
2016
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6213 Deep Earth Ln
Columbia, MD 21045-2565
Phone: (610) 217-0821
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 05587 (MD)

Record details

NPI number1073968061
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tara Acevedo — Executive Director · (610) 217-0821
NPI enumeratedApril 27, 2016
Last updated in NPPESApril 27, 2016
Mailing address6213 Deep Earth Ln, Columbia, MD 21045-2565

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