Provider Demographics
NPI:1770860835
Name:LUBITSH, TAMAR (RDT, LPC, PSY D)
Entity Type:Individual
Prefix:MS
First Name:TAMAR
Middle Name:
Last Name:LUBITSH
Suffix:
Gender:F
Credentials:RDT, LPC, PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1320 ANNAPOLIS DR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-4310
Mailing Address - Country:US
Mailing Address - Phone:907-317-9442
Mailing Address - Fax:
Practice Address - Street 1:1320 ANNAPOLIS DR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-4310
Practice Address - Country:US
Practice Address - Phone:907-538-2008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-03
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKPSYS118103T00000X
AK690101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No103T00000XBehavioral Health & Social Service ProvidersPsychologist