Provider Demographics
NPI:1164489357
Name:MAY, TARA ZAMPARDI (PHD)
Entity Type:Individual
Prefix:DR
First Name:TARA
Middle Name:ZAMPARDI
Last Name:MAY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:TARA
Other - Middle Name:ANN
Other - Last Name:ZAMPARDI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:756 OFFICERS ROW
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98661-3845
Mailing Address - Country:US
Mailing Address - Phone:360-904-1008
Mailing Address - Fax:360-833-0136
Practice Address - Street 1:756 OFFICERS ROW
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98661-3845
Practice Address - Country:US
Practice Address - Phone:360-904-1008
Practice Address - Fax:360-833-0136
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-01
Last Update Date:2013-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY 60230506103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical