Individual
DR. TAMISHA LYNETTE UTERMARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
207 ROCK PRAIRIE RD STE B, COLLEGE STATION, TX 77845-8777
(979) 255-0779
Mailing address
934 WHITEWING LN, COLLEGE STATION, TX 77845-5997
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
34194
TX
Other
Enumeration date
08/04/2010
Last updated
08/09/2010
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