Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | NONE | CA |
NPI | 1104100734 |
---|---|
Provider Name | Ms. Tamara Joy Harper |
First Address | Somerville, MA 02143-4352 |
Second Address | Somerville, MA 02143-4352 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2011 |
Last Update Date | 30/09/2011 |