Elkins, Tamara Lynn

Elkins, Tamara Lynn is an sole proprietor health care provider with primary practice located at 802 14Th St Ste G, Modesto CA 95354-1029. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Rehabilitation. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Elkins, Tamara Lynn can be contacted via phone (209) 521-4334.

Contact Information

Primary practice address
802 14Th St Ste G Modesto CA 95354-1029
Phone: (209) 521-4334
Fax: (209) 521-4334
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY15916 California
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X PSY15916 California

Profile Details

NPI number 1073671228
LBN Legal business name Elkins, Tamara Lynn
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073671228 NPPES
California MEDICAID PSY159160

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