Doctor Name: | TAMMY LYNN ZWARST |
NPI Number: | 1205989860 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPC, LMFT |
License Number: | 15193 |
Business Practice Address: | 1221 Cedar Dr La Marque, TX - 775683931 |
Business Phone Number: | 2817286973 |
Business Fax Number: | 4099381713 |
Mailing Address: | 1221 Cedar Dr, Po Box 907 LA MARQUE |
State: | TX |
Postal Code: | 775683931 |
Phone Number: | 2817286973 |
Fax Number: | 4099381713 |
NPI Enumeration Date: | 01/18/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 15193 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |