Provider Demographics
NPI:1245534874
Name:DENBESTEN, TAMARA DAWN (PSYD)
Entity type:Individual
Prefix:DR
First Name:TAMARA
Middle Name:DAWN
Last Name:DENBESTEN
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 1:222 E CHATHAM ST
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-3458
Mailing Address - Country:US
Mailing Address - Phone:919-573-6544
Mailing Address - Fax:919-573-6554
Practice Address - Street 1:222 E CHATHAM ST
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-3458
Practice Address - Country:US
Practice Address - Phone:919-573-6544
Practice Address - Fax:919-573-6554
Is Sole Proprietor?:No
Enumeration Date:2010-12-22
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4035103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical