Doctor Name: | TAMMY L ROME |
NPI Number: | 1467782680 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 2194 |
Business Practice Address: | 304 W 26th St Eudora, KS - 660257107 |
Business Phone Number: | 7853305108 |
Business Fax Number: | |
Mailing Address: | Po Box 258, EUDORA |
State: | KS |
Postal Code: | 660250258 |
Phone Number: | 7853305108 |
Fax Number: | |
NPI Enumeration Date: | 01/11/2010 |
NPI Last Update Date: | 07/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2194 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |