Provider Demographics
NPI:1790294353
Name:DUNCAN, TAMARA ESTHER (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:TAMARA
Middle Name:ESTHER
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7240 HOLLAND RD NW
Mailing Address - Street 2:
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98311-8509
Mailing Address - Country:US
Mailing Address - Phone:360-536-2627
Mailing Address - Fax:360-662-9001
Practice Address - Street 1:2900 AUSTIN DR
Practice Address - Street 2:
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98312-1963
Practice Address - Country:US
Practice Address - Phone:360-662-9037
Practice Address - Fax:360-662-9001
Is Sole Proprietor?:No
Enumeration Date:2017-09-27
Last Update Date:2017-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL60753863235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist