| Tamara Ice, | |
|
820 Gravenstein Ave Ste 200, Sebastopol, CA 95472-4557 | |
| (707) 522-0473 | |
| Not Available |
| Full Name | Tamara Ice |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 820 Gravenstein Ave Ste 200, Sebastopol, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356487771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | IMF44768 (California) | Primary |
| Entity Name | Psych Strategies Inc A Psychological Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699775411 PECOS PAC ID: 0446144497 Enrollment ID: O20040210001132 |
| Mailing Address | Practice Location Address |
|---|---|
| Tamara Ice, 8684 Trenton Rd, Forestville, CA 95436-9657 Ph: () - | Tamara Ice, 820 Gravenstein Ave Ste 200, Sebastopol, CA 95472-4557 Ph: (707) 522-0473 |
Shoshana Rose Davis, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7765 Healdsburg Ave, Sebastopol, CA 95472 Phone: 707-696-9648 | |
Nicole Helene O'brien, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6914 Sebastopol Ave, Suite A, Sebastopol, CA 95472 Phone: 707-529-2910 | |
Allie M Andrus Mccann, MFT, ATR-BC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 435 Petaluma Ave, #140, Sebastopol, CA 95472 Phone: 707-219-8484 | |
Lauren Schneider, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8211 Occidental Rd, Sebastopol, CA 95472 Phone: 707-823-8722 | |
Mr. John Alilovich, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 103 Morris St, Suite G, Sebastopol, CA 95472 Phone: 707-824-8401 Fax: 707-824-8301 | |
Diana S Poulson, Couples Therapy Medicare: Medicare Enrolled Practice Location: 7765 Healdsburg Ave, Sebastopol, CA 95472 Phone: 707-824-4782 | |
Erma Kyriakos, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7590 Atkinson Rd, Sebastopol, CA 95472 Phone: 415-761-3494 |