MEDICARE: DR. TARA FAIRFIELD ED.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	PY00003393	WA
2	103T00000X	Psychologist	PSY00003393	WA

General Provider Information

NPI Number	:	1538194915
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TARA FAIRFIELD ED.D.

Provider Business Mailing Address
First Line	:	5201 OLYMPIC DR STE 210
Second Line	:
City	:	GIG HARBOR
State	:	WA
Zip	:	98335-1778
Country	:	US
Telephone Number	:	253-372-8635
Fax Number	:	253-276-6624

Provider Business Practice Location Address
First Line	:	5201 OLYMPIC DR STE 210
Second Line	:
City	:	GIG HARBOR
State	:	WA
Zip	:	98335-1778
Country	:	US
Telephone Number	:	253-372-8635
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	08/02/2021

Similar Medicare Providers

1073750717 — DR. JOHN P GAROFALO PHD
Practice Location Address:

5201 OLYMPIC DR STE 210
GIG HARBOR, WA
98335-1778

Practice Phone: 253-372-8635
Practice Fax:

1275696056 — PRESTON SULLIVAN MD
Practice Location Address:

5201 OLYMPIC DR STE 110
GIG HARBOR, WA
98335-1778

Practice Phone: 253-432-3238
Practice Fax: 253-509-0217

1851442388 — ANN DARIN-AMOS M.A.
Practice Location Address:

5201 OLYMPIC DR STE 210
GIG HARBOR, WA
98335-1778

Practice Phone: 253-752-7320
Practice Fax:

1033403001 — DEREK BOYDEN
Practice Location Address:

5201 OLYMPIC DR NW , 140
GIG HARBOR, WA
98335-1778

Practice Phone: 253-858-2406
Practice Fax:

1417235698 — CATHERINE ELAINE MCNAUGHTON IMFT
Practice Location Address:

5201 OLYMPIC DR STE 210
GIG HARBOR, WA
98335-1778

Practice Phone: 253-752-7320
Practice Fax:

1386108348 — KATE NOEL DONAHUE ARNP
Practice Location Address:

5201 OLYMPIC DR STE 210
GIG HARBOR, WA
98335-1778

Practice Phone: 253-372-8635
Practice Fax: 253-276-6624

Directions to “ DR. TARA FAIRFIELD ED.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.