NPI Profile for SANDRA L SELLAM in PUYALLUP, WA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Forensic |
103TF0200X | 62 | Psychologist, Clinical |
| NPI # | 1174148878 |
|
| Status | Active | |
| Credentials | MS | |
| Entity | Individual | |
| Enumeration date | 06/09/2020 | |
| Last updated | 05/20/2023 - About 3 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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SANDRA L SELLAM
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| LAURA D JOHNSON, BS 325 E PIONEER AVE PUYALLUP, WA |
| TONYA KELLERMAN 325 E PIONEER AVE PUYALLUP, WA |
| BONNEE K ZANDER, MS 325 E PIONEER AVE PUYALLUP, WA |
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| MADRED SLAKER, MA 325 E PIONEER AVE PUYALLUP, WA |
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