Individual
TAMARA ELLEN CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
545 HEMLOCK CT, FRIDAY HARBOR, WA 98250-8063
(369) 378-0848
Mailing address
545 HEMLOCK CT, FRIDAY HARBOR, WA 98250-8063
(360) 378-0848
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL 60577907
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
395203C
STATE OF WASHINGTON EDUCATOR CERTIFICATE
WA
01
—
LL 60577907
WASHINGTON STATE HEALTH DEPARTMENT LICENSE
WA
Enumeration date
02/10/2016
Last updated
02/10/2016
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