Sandra Lee Sellam, MS is a
Counselor - Mental Health based in Puyallup, Washington. Sandra Lee Sellam is licensed to practice in Washington (license number MC61062196) and her current practice location is
10712 183rd Street Ct E, Puyallup, Washington. She can be reached at her office (for appointments etc.) via phone at
(206) 639-3816.
NPI number for Sandra Lee Sellam is 1174148878 and her current mailing address is 10712 183rd Street Ct E, Puyallup, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174148878.
Healthcare Provider's Profile
Full Name | Sandra Lee Sellam |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 10712 183rd Street Ct E, Puyallup, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1174148878
- Provider Enumeration Date: 06/09/2020
- Last Update Date: 05/20/2023
Medical Identifiers
Medical identifiers for Sandra Lee Sellam such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174148878 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TF0200X | Psychologist - Forensic | (Washington) | Secondary |
101YM0800X | Counselor - Mental Health | MC61062196 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sandra Lee Sellam is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Sandra Lee Sellam, MS 10712 183rd Street Ct E, Puyallup, WA 98374-8909 Ph: (206) 639-3816 | Sandra Lee Sellam, MS 10712 183rd Street Ct E, Puyallup, WA 98374-8909 Ph: (206) 639-3816 |
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