Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. TAMARA DOUD
Active Sole ProprietorResidential Treatment, Emotionally Disturbed Children · NEWPORT NEWS, VA
Registration Details
- NPI Number
- 1194105346
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 3, 2015 (10.884833268671 yrs)
- Last Updated
- Jun 3, 2015
- License
-
23-036-099 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
165 MOTOKA DR APT 1NEWPORT NEWS, VA, 236024053Browse VA providers · Browse ZIP 23602
- Phone
- 7577685876
- Primary Specialty
-
Residential Treatment, Emotionally Disturbed Children
322D00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.