Wall, Tamara Lynn

Wall, Tamara Lynn is an sole proprietor health care provider with primary practice located at Va San Diego Healthcare System 3350 La Jolla Village Dr., San Diego CA 92161-0001. She recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Wall, Tamara Lynn can be contacted via phone (858) 552-8585.

Contact Information

Primary practice address
Va San Diego Healthcare System 3350 La Jolla Village Dr. San Diego CA 92161-0001
Phone: (858) 552-8585
Fax: (858) 552-7414
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X PSY15385 California
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X PSY15385 California
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PSY15385 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY15385 California
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY15385 California
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X PSY15385 California

Profile Details

NPI number 1972528388
LBN Legal business name Wall, Tamara Lynn
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2006
Last updated Jul 8th, 2007 - about 17 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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