Provider Demographics
NPI:1225669666
Name:DYER, TAMARA (LMHCA, CDPT)
Entity type:Individual
Prefix:
First Name:TAMARA
Middle Name:
Last Name:DYER
Suffix:
Gender:F
Credentials:LMHCA, CDPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 1ST AVE STE 534
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-2229
Mailing Address - Country:US
Mailing Address - Phone:206-279-3323
Mailing Address - Fax:
Practice Address - Street 1:600 1ST AVE STE 534
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2229
Practice Address - Country:US
Practice Address - Phone:206-279-3323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-03
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC.61023693101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health