National Provider Identifier
Tamara Jane Michaelidis, PSY.D.
Tamara Jane Michaelidis, PSY.D. is listed in the NPPES registry with a primary specialty of Clinical Psychologist in East Aurora, NY and a listed phone number of (716) 652-8100.
Profile Overview
- NPI
- 1174783963
- Provider Type
- Individual
- Primary Specialty
- Clinical Psychologist
- Enumeration Date
- June 15, 2008
- Last Updated
- June 15, 2008
Practice Location
- 552 Linden Ave
- East Aurora, NY 14052-2915
Phone: (716) 652-8100
Specialties
- Clinical Psychologist (103TC0700X)
Full Record
- NPI
- 1174783963
- Entity Type
- Individual
- Last Name
- Michaelidis
- First Name
- Tamara
- Middle Name
- Jane
- Name Prefix
- Dr.
- Credential
- PSY.D.
- Mailing Street Address
- 552 Linden Ave
- Mailing City
- East Aurora
- Mailing State
- NY
- Mailing ZIP Code
- 14052-2915
- Mailing Country
- US
- Practice Street Address
- 552 Linden Ave
- Practice City
- East Aurora
- Practice State
- NY
- Practice ZIP Code
- 14052-2915
- Practice Country
- US
- Practice Phone
- (716) 652-8100
- Practice Fax
- (716) 655-6077
- Enumeration Date
- June 15, 2008
- Last Updated
- June 15, 2008
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Psychologist (103TC0700X)