Dr. Teona Callaham Amble, Ph.D.
Psychologist, Clinical in Tacoma, WA. Individual provider (NPI-1).
NPI number1639593288
StatusActive
Last updated in NPPESApr 16, 2021
Details
- NPI
- 1639593288
- Entity type
- Individual (NPI-1)
- Name
- Dr. Teona Callaham Amble
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 18, 2014
- Certification date
- Apr 16, 2021
- Last updated
- Apr 16, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PY61040124 | WA | Yes |
Practice location
2202 South Cedar St #300/#200Tacoma, WA 98405
Phone 253-301-5280
Mailing address
P.O. Box 5299737-3-Pcon
Tacoma, WA 98415-0299
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