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Contact Information

TONYA KELLERMAN
325 E PIONEER AVE
PUYALLUP, WA98372
 Phone: 253-697-8458
 Fax: 253-697-8392
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for TONYA KELLERMAN · (Female)

NPI Number 1043420748
Status Active
Credentials
Entity Individual
Enumeration date 05/23/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WA License # PY00003611
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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