Doctor Name: | DITMARA TAMAYO |
NPI Number: | 1447446810 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | SW6705 |
Business Practice Address: | 7474 Wiles Rd Coral Springs, FL - 330672067 |
Business Phone Number: | 9543455644 |
Business Fax Number: | 9543455683 |
Mailing Address: | 7474 Wiles Rd, CORAL SPRINGS |
State: | FL |
Postal Code: | 330672067 |
Phone Number: | 9543455644 |
Fax Number: | 9543455683 |
NPI Enumeration Date: | 09/19/2007 |
NPI Last Update Date: | 09/24/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | SW6705 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |