Provider Demographics
NPI:1124231626
Name:SELLERS, TINA SCHERMER (MS)
Entity Type:Individual
Prefix:MS
First Name:TINA
Middle Name:SCHERMER
Last Name:SELLERS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3307 3RD AVE W STE 107
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98119-1922
Mailing Address - Country:US
Mailing Address - Phone:206-679-4728
Mailing Address - Fax:206-281-2695
Practice Address - Street 1:3307 3RD AVE W STE 107
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98119-1922
Practice Address - Country:US
Practice Address - Phone:206-679-4728
Practice Address - Fax:206-281-2695
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF00001378106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist