Provider Demographics
NPI:1356665335
Name:DICHTER-BLANCHER, TAMMY B (PHD)
Entity Type:Individual
Prefix:DR
First Name:TAMMY
Middle Name:B
Last Name:DICHTER-BLANCHER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MS
Other - First Name:TAMMY
Other - Middle Name:B
Other - Last Name:DICHTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:1983 MARCUS AVE
Mailing Address - Street 2:SUITE E100
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042-1016
Mailing Address - Country:US
Mailing Address - Phone:516-326-5607
Mailing Address - Fax:516-354-7291
Practice Address - Street 1:1983 MARCUS AVE
Practice Address - Street 2:SUITE 100E
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-1016
Practice Address - Country:US
Practice Address - Phone:516-326-5607
Practice Address - Fax:516-354-7291
Is Sole Proprietor?:No
Enumeration Date:2010-03-20
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0185061103T00000X
NY018506103TS0200X, 103TM1800X, 103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral