Provider Demographics
NPI:1720715311
Name:SAVAGE, TAMARA R (PSYCHOLOGIST)
Entity Type:Individual
Prefix:DR
First Name:TAMARA
Middle Name:R
Last Name:SAVAGE
Suffix:
Gender:F
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6607 DAYLILY DR
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92011-1269
Mailing Address - Country:US
Mailing Address - Phone:619-535-8898
Mailing Address - Fax:760-603-8601
Practice Address - Street 1:6607 DAYLILY DR
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92011-1269
Practice Address - Country:US
Practice Address - Phone:619-535-8898
Practice Address - Fax:760-603-8601
Is Sole Proprietor?:No
Enumeration Date:2022-08-03
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY17552103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty