SANDRA LEE SELLAM


Address: 4525 S Warner St Apt 3, Tacoma, WA 98409-5503
Phone: 2066393816

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TF0200X Psychologist
Specialization: Forensic
WA Behavioral Health & Social Service Providers

Office Location

Street Address 4525 S WARNER ST APT 3
City TACOMA
State WA
Zip Code 98409-5503

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NPI Name Taxonomy Address Enumeration
1053942805 Terah Jo Barker Behavior Technician 4301 South Pine St., Suite 505, Tacoma, WA 98409 2020-01-30
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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
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Taxonomy Information

Taxonomy Code 103TF0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Forensic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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
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Competitor

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City TACOMA
Zip Code 98409

Improve Information

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Dataset Information

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.

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