Provider Demographics
NPI:1063920957
Name:CLAMAN, TAMARA MIRIAM (PSYD)
Entity type:Individual
Prefix:DR
First Name:TAMARA
Middle Name:MIRIAM
Last Name:CLAMAN
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 1:3660 DAVIS ST
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-1743
Mailing Address - Country:US
Mailing Address - Phone:847-528-0837
Mailing Address - Fax:
Practice Address - Street 1:1718 SHERMAN AVE STE 210
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-5610
Practice Address - Country:US
Practice Address - Phone:847-577-1501
Practice Address - Fax:847-577-3848
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-13
Last Update Date:2018-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071.005193103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical