Provider Demographics
NPI:1235571357
Name:HARTAMAN-MOTTER, TAM (BS)
Entity Type:Individual
Prefix:MRS
First Name:TAM
Middle Name:
Last Name:HARTAMAN-MOTTER
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6567 MIFFLIN AVE
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17111-4538
Mailing Address - Country:US
Mailing Address - Phone:717-623-7037
Mailing Address - Fax:
Practice Address - Street 1:1801 N FRONT ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17102-2213
Practice Address - Country:US
Practice Address - Phone:717-238-8852
Practice Address - Fax:717-238-0692
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-18
Last Update Date:2013-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health