Doctor Name: | TAMMY RAE VOLKENANT |
NPI Number: | 1174825822 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLPA |
License Number: | SLPA6393 |
Business Practice Address: | 5220 N Dysart Rd Ste 112 Litchfield Park, AZ - 853403045 |
Business Phone Number: | 6239356040 |
Business Fax Number: | 6239356046 |
Mailing Address: | 5220 N Dysart Rd, Ste 112 LITCHFIELD PARK |
State: | AZ |
Postal Code: | 853403045 |
Phone Number: | 6239356040 |
Fax Number: | 6239356046 |
NPI Enumeration Date: | 12/01/2010 |
NPI Last Update Date: | 12/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2355S0801X |
License Number: | SLPA6393 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | Speech-Language Assistant |
Taxonomy Definition: |