| Doctor Name: | MRS. TAMARA MARIE SEGRIST |
| NPI Number: | 1417334319 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LSW |
| License Number: | S1200045 |
| Business Practice Address: | 600 Freedom Dr Napoleon, OH - 435459038 |
| Business Phone Number: | 4195991660 |
| Business Fax Number: | 4195928336 |
| Mailing Address: | 4880 County Road 10 2, WAUSEON |
| State: | OH |
| Postal Code: | 435679582 |
| Phone Number: | 4195991660 |
| Fax Number: | 4195928336 |
| NPI Enumeration Date: | 04/29/2015 |
| NPI Last Update Date: | 04/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | S1200045 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |