MEDICARE: DR. TAMMY JEAN DOBBS PH.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	103TB0200X	Cognitive & Behavioral Psychologist

General Provider Information

NPI Number	:	1851889737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TAMMY JEAN DOBBS PH.D.

Provider Business Mailing Address
First Line	:	518 PAULDING CIR STE A
Second Line	:
City	:	ARROYO GRANDE
State	:	CA
Zip	:	93420-2857
Country	:	US
Telephone Number	:	805-441-9795
Fax Number	:	805-668-2085

Provider Business Practice Location Address
First Line	:	518 PAULDING CIR STE A
Second Line	:
City	:	ARROYO GRANDE
State	:	CA
Zip	:	93420-2857
Country	:	US
Telephone Number	:	805-441-9795
Fax Number	:	805-668-2085

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

Provider Enumeration Date	:	04/26/2018
Last Update Date	:	09/13/2023

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