Provider Demographics
NPI:1154719334
Name:WESTERGAARD, TAMMY (MA)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:
Last Name:WESTERGAARD
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7000 NE 186TH PL APT 105
Mailing Address - Street 2:
Mailing Address - City:KENMORE
Mailing Address - State:WA
Mailing Address - Zip Code:98028-2143
Mailing Address - Country:US
Mailing Address - Phone:206-708-9016
Mailing Address - Fax:
Practice Address - Street 1:7000 NE 186TH PL APT 105
Practice Address - Street 2:
Practice Address - City:KENMORE
Practice Address - State:WA
Practice Address - Zip Code:98028-2143
Practice Address - Country:US
Practice Address - Phone:206-708-9016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-22
Last Update Date:2014-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health