Provider Demographics
NPI:1699892216
Name:PLAYER, TAMARA L (MSW)
Entity type:Individual
Prefix:MRS
First Name:TAMARA
Middle Name:L
Last Name:PLAYER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:TAMARA
Other - Middle Name:L
Other - Last Name:CAMPBELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:8931 HURON ST
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80260-6806
Mailing Address - Country:US
Mailing Address - Phone:303-853-3406
Mailing Address - Fax:303-853-3656
Practice Address - Street 1:8931 HURON ST
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80260-6806
Practice Address - Country:US
Practice Address - Phone:303-853-3406
Practice Address - Fax:303-853-3656
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC111341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME266990099OtherMAINE CARE NUMBER