Basic Information
Provider Information
NPI: 1861914087
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NABIH
FirstName: TAMARA
MiddleName:  
NamePrefix: MS.
NameSuffix:  
Credential: MSSA, LSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2992 W CASE RD
Address2:  
City: DUBLIN
State: OH
PostalCode: 430171593
CountryCode: US
TelephoneNumber: 3302401009
FaxNumber:  
Practice Location
Address1: 299 CRAMER CREEK CT
Address2:  
City: DUBLIN
State: OH
PostalCode: 430172586
CountryCode: US
TelephoneNumber: 6148895722
FaxNumber: 6148899335
Other Information
ProviderEnumerationDate: 07/10/2017
LastUpdateDate: 11/16/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700XS.1500519OHY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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