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

Individual provider Psychologist · NPI 1760641344

Tara Marie Lally, PHDLPC is a Clinical Psychologist in Brick, New Jersey. Qualified in 2007, 19 years ago. Practices with Hackensack Meridian Health Medical Group - Specialty Care PC, a 1,897-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
19
Licensed in
NJ
In the registry since
2008
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Practice location Address checks out

1610 Route 88 W
Brick, NJ 08724-3018
Phone: (732) 295-6543
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 35SI00491300 (NJ)

Record details

NPI number1760641344
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHDLPC
Sole proprietorNo
NPI enumeratedJune 9, 2008
Last updated in NPPESSeptember 22, 2022
Certification dateSeptember 22, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Hackensack Meridian Health Medical Group - Specialty Care Pc — 1897 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Brick