Provider Demographics
NPI:1427626795
Name:PALASH-KARREMAN, TAMARA AUGUSTA
Entity type:Individual
Prefix:
First Name:TAMARA
Middle Name:AUGUSTA
Last Name:PALASH-KARREMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:STRAATWEG 83A
Mailing Address - Street 2:
Mailing Address - City:ROTTERDAM
Mailing Address - State:NA
Mailing Address - Zip Code:3054 AB
Mailing Address - Country:NL
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7611 MAPLE ST STE 3A
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-5092
Practice Address - Country:US
Practice Address - Phone:504-507-1007
Practice Address - Fax:504-507-1004
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-14
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSS699103TS0200X
LALSSP034103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool