Provider Demographics
NPI:1265045074
Name:TARRANT, TAMARA ANNE (LMFT)
Entity Type:Individual
Prefix:
First Name:TAMARA
Middle Name:ANNE
Last Name:TARRANT
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:TAMARA
Other - Middle Name:ANNE
Other - Last Name:TARRANT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:8 WAKEMAN RD
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06824-5120
Mailing Address - Country:US
Mailing Address - Phone:203-255-5078
Mailing Address - Fax:203-295-7663
Practice Address - Street 1:1 ENTERPRISE DR STE 415
Practice Address - Street 2:
Practice Address - City:SHELTON
Practice Address - State:CT
Practice Address - Zip Code:06484-4631
Practice Address - Country:US
Practice Address - Phone:203-255-5078
Practice Address - Fax:203-295-7663
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-31
Last Update Date:2023-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist