Provider Demographics
NPI:1609902196
Name:ALMONTE, TAMARA CLEVELAND (PSYD)
Entity Type:Individual
Prefix:DR
First Name:TAMARA
Middle Name:CLEVELAND
Last Name:ALMONTE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5415 EMERALD DRIVE
Mailing Address - Street 2:
Mailing Address - City:SYKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21784
Mailing Address - Country:US
Mailing Address - Phone:410-315-8015
Mailing Address - Fax:
Practice Address - Street 1:5415 EMERALD DR
Practice Address - Street 2:
Practice Address - City:SYKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21784-6838
Practice Address - Country:US
Practice Address - Phone:410-315-8015
Practice Address - Fax:410-315-8015
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD2440103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
202389928OtherEIN
GG86Medicare UPIN