Individual
DR. TAMARA SANDERFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MBA, BA
Contact information
Practice address
4206 PACKARD ST APT 2, ANN ARBOR, MI 48108-1525
(734) 510-9972
Mailing address
4206 PACKARD ST APT 2, ANN ARBOR, MI 48108-1525
(734) 510-9972
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TP0016X
Prescribing (Medical) Psychologist
—
—
171000000X
Military Health Care Provider
—
—
1710I1002X
Independent Duty Corpsman
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
07048002
MI
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
07048002
MI
2085R0001X
Radiation Oncology Physician
07048002
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2020
Last updated
03/31/2022
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