Provider Demographics
NPI:1285876029
Name:KULMAN, TAMARYN (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:TAMARYN
Middle Name:
Last Name:KULMAN
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:880 E CAMPBELL AVE
Mailing Address - Street 2:STE. 203
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-2341
Mailing Address - Country:US
Mailing Address - Phone:408-371-4004
Mailing Address - Fax:
Practice Address - Street 1:880 E CAMPBELL AVE
Practice Address - Street 2:STE. 203
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-2341
Practice Address - Country:US
Practice Address - Phone:408-371-4004
Practice Address - Fax:408-371-5024
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-25
Last Update Date:2009-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP8741235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist