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Contact Information

SANDRA L SELLAM, MS
10712 183RD STREET COURT E
PUYALLUP, WA98374
 Phone: 206-639-3816
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Forensic

103TF0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SANDRA L SELLAM · (Female)

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
  • WA License # MC61062196
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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