Provider Demographics
NPI:1629444518
Name:PIERSAINT, TAMARE P (PSYD)
Entity Type:Individual
Prefix:DR
First Name:TAMARE
Middle Name:P
Last Name:PIERSAINT
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 1:7860 W COMMERCIAL BLVD STE 732
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33351-4324
Mailing Address - Country:US
Mailing Address - Phone:547-030-8879
Mailing Address - Fax:
Practice Address - Street 1:4200 NW 16TH ST
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33313-5899
Practice Address - Country:US
Practice Address - Phone:954-703-0887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-14
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC008312101YM0800X
FLMH21972101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health