Provider Demographics
NPI:1821077397
Name:TREISMAN, TAMARA KAY (MS)
Entity Type:Individual
Prefix:MRS
First Name:TAMARA
Middle Name:KAY
Last Name:TREISMAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MISS
Other - First Name:TAMARA
Other - Middle Name:KAY
Other - Last Name:BLACHMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS
Mailing Address - Street 1:1552 N HARVARD AVE
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93619-7608
Mailing Address - Country:US
Mailing Address - Phone:559-287-1034
Mailing Address - Fax:
Practice Address - Street 1:351 E BARSTOW AVE
Practice Address - Street 2:SUITE NUMBER 106
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-6073
Practice Address - Country:US
Practice Address - Phone:559-227-4472
Practice Address - Fax:559-227-4217
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA93015170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS