Southerling, Tamara
Southerling, Tamara is an sole proprietor health care provider with primary practice located at 1518 Walnut St Ste 307 , Philadelphia PA 19102-3402. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Southerling, Tamara can be contacted via phone (215) 219-1701.Contact Information
Primary practice address
1518 Walnut St Ste 307
Philadelphia PA 19102-3402
Phone: (215) 219-1701
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | PS017911 | Pennsylvania |
Profile Details
| NPI number | 1346891728 |
|---|---|
| LBN Legal business name | Southerling, Tamara |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 26th, 2019 |
| Last updated | Sep 26th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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