Doctor Name: | MS. TAMEKA R CHALMERS |
NPI Number: | 1568567865 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 310 West Losey Street Scott Afb, IL - 622255252 |
Business Phone Number: | 6182566267 |
Business Fax Number: | 6182567931 |
Mailing Address: | 10916 Upland Terrace Drive, LEBANON |
State: | IL |
Postal Code: | 62254 |
Phone Number: | 6182567386 |
Fax Number: | |
NPI Enumeration Date: | 09/13/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |