Healthcare Provider Details

I. General information

NPI: 1235197344
Provider Name (Legal Business Name): TAMELA J BRESLER PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2006
Last Update Date: 01/11/2021
Certification Date: 01/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BLDG 9921A EAST JOHNSON ST
TACOMA WA
98431-1100
US

IV. Provider business mailing address

BLDG 9921A EAST JOHNSON ST
TACOMA WA
98431-1100
US

V. Phone/Fax

Practice location:
  • Phone: 253-968-4851
  • Fax: 253-968-3731
Mailing address:
  • Phone: 253-968-4851
  • Fax: 253-968-3731

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number3390
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: