Provider Demographics
NPI:1699076489
Name:CATES-PALMERLEE, TAMARA (MFTI)
Entity type:Individual
Prefix:
First Name:TAMARA
Middle Name:
Last Name:CATES-PALMERLEE
Suffix:
Gender:F
Credentials:MFTI
Other - Prefix:
Other - First Name:TAMMY
Other - Middle Name:
Other - Last Name:CATES-PALMERLEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MFTI
Mailing Address - Street 1:15339 SATICOY ST
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91406-3345
Mailing Address - Country:US
Mailing Address - Phone:818-267-2600
Mailing Address - Fax:818-267-2691
Practice Address - Street 1:15339 SATICOY ST
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91406-3345
Practice Address - Country:US
Practice Address - Phone:818-267-2600
Practice Address - Fax:818-267-2691
Is Sole Proprietor?:No
Enumeration Date:2010-11-09
Last Update Date:2014-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA63989106H00000X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist