Healthcare Provider Details

I. General information

NPI: 1245534874
Provider Name (Legal Business Name): TAMARA DAWN DENBESTEN PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2010
Last Update Date: 01/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 E CHATHAM ST
CARY NC
27511-3458
US

IV. Provider business mailing address

222 E CHATHAM ST
CARY NC
27511-3458
US

V. Phone/Fax

Practice location:
  • Phone: 919-573-6544
  • Fax: 919-573-6554
Mailing address:
  • Phone: 919-573-6544
  • Fax: 919-573-6554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number4035
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: