Provider Demographics
NPI:1750708418
Name:OPPENHEIMER, TAMAR Z (LCSW)
Entity type:Individual
Prefix:
First Name:TAMAR
Middle Name:Z
Last Name:OPPENHEIMER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8942 IRVING AVE
Mailing Address - Street 2:
Mailing Address - City:SURFSIDE
Mailing Address - State:FL
Mailing Address - Zip Code:33154-3334
Mailing Address - Country:US
Mailing Address - Phone:786-367-7758
Mailing Address - Fax:
Practice Address - Street 1:8942 IRVING AVE
Practice Address - Street 2:
Practice Address - City:SURFSIDE
Practice Address - State:FL
Practice Address - Zip Code:33154-3334
Practice Address - Country:US
Practice Address - Phone:786-367-7758
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-19
Last Update Date:2014-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW7223101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health