Tamara Wynn

NPI 1275803975 · on the registry since 2012

Practice

Address: 14650 Detroit Avenue
Suite Ll40
Lakewood, OH 44107
Phone: (216) 226-2721
Fax: (216) 226-2731
Organisation at this address: Spectera
West Mock Associates, Inc Dba Center For Interpersonal Development
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Also registered as: 101YA0400X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-01-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio