Individual
MS. CECELIA SIAH TAMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
3406 MEADOWDALE DR, WINDSOR MILL, MD 21244-2236
(667) 678-1048
(888) 919-4634
Mailing address
3406 MEADOWDALE DR, WINDSOR MILL, MD 21244-2236
(240) 354-3205
(888) 919-4634
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2021039752
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURITY OFFICE
MD
Enumeration date
08/24/2021
Last updated
01/30/2023
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