SANDRA LEE SELLAM (NPI# 1174148878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174148878 |
Entity Type | Individual |
Full Name | SANDRA LEE SELLAM |
Credential | MS. |
Practice Address |
4525 S Warner St Apt 3 Tacoma WA 98409-5503 |
Practice Telephone | 2066393816 |
Mailing Telephone | 2066393816 |
Enumeration Date | 2020-06-09 |
Last Update Date | 2020-06-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TF0200X |
Psychologist Specialization: Forensic |
WA | Behavioral Health & Social Service Providers |
Street Address |
4525 S WARNER ST APT 3 |
City | TACOMA |
State | WA |
Zip Code | 98409-5503 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053942805 | Terah Jo Barker | Behavior Technician | 4301 South Pine St., Suite 505, Tacoma, WA 98409 | 2020-01-30 |
1427526797 | Carrissa Bentley | Social Worker | 3901 S. Fife Street, Tacoma, WA 98409 | 2018-11-05 |
1396255972 | Julie Ann Sunada | Nurse Practitioner | 2505 S 38th St Ste 109, Tacoma, WA 98409 | 2017-10-09 |
1306389820 | Laura Town | Chiropractor | 3640 S Cedar St, Ste P, Tacoma, WA 98409 | 2016-12-01 |
1114476082 | Chelsea Marie Jensen | Massage Therapist | 701 Commerce Street Apartment 307, Tacoma, WA 98409 | 2016-10-03 |
1831574730 | Artika Naidu | Optometrist | 4502 South Steele #700, Located Inside Macy's Lenscrafters, Tacoma, WA 98409 | 2015-07-22 |
1972918399 | Tacoma Dental and Implant Center Ps | Clinic/Center | 4704 South Oakes St #103, Tacoma, WA 98409 | 2014-06-24 |
1457795957 | Ana Amparo Penas Vasquez | Clinical Nurse Specialist | 2505 South 38th St, Bldg A Suite 109, Tacoma, WA 98409 | 2013-04-26 |
1033452156 | Richard William Solitaire | Counselor | 4301 S. Pine St., 30-19, Tacoma, WA 98409 | 2013-03-27 |
1790042810 | Tara Kerin Garland | Counselor | 5921 S. Verde St., Tacoma, WA 98409 | 2012-04-13 |
Find all providers in zip 98409 |
Taxonomy Code | 103TF0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Forensic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780157495 | Brian William Judd | Psychologist | 501 Columbia St Nw Ste A, Olympia, WA 98501-1062 | 2019-01-04 |
1922506377 | Diane Weyer Dewitt | Psychologist | 12356 Northup Way Ste 100, Bellevue, WA 98005-1956 | 2018-01-30 |
1598130155 | Corre Spence | Psychologist | 2204 S Norman St, Seattle, WA 98144-2943 | 2015-12-08 |
1023432150 | Joseph Nevotti | Psychologist | 2023 East Sims Way, Port Townsend, WA 98368 | 2014-02-10 |
1386931608 | Brendon Scholtz | Psychologist | 16731 188th Pl Ne, Woodinville, WA 98072-9197 | 2011-07-07 |
1699081604 | Pacific Forensic Psychology Services | Psychologist | 427 W 7th Ave, Spokane, WA 99204-2611 | 2010-08-27 |
1265696884 | C O'donnell | Psychologist | 1903 W Garland Ave, Box 10757, Spokane, WA 99205-2519 | 2008-07-13 |
1891992467 | John Robert Wheeler | Psychologist | 19105 36th Ave W, Suite 206, Lynnwood, WA 98036-5760 | 2007-06-28 |
1619184827 | Norman James Mar | Psychologist | 515 Minor Ave Ste 230, Seattle, WA 98104-2133 | 2007-05-17 |
1265658066 | Christopher Kirk Johnson | Psychologist | 3112 Main St, Vancouver, WA 98663-2752 | 2007-04-18 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.