| Doctor Name: | MRS. TAMMI DEA KOLSKI |
| NPI Number: | 1477576726 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, LLP |
| License Number: | 6301007485 |
| Business Practice Address: | 9433 Annie Ln Newaygo, MI - 493378012 |
| Business Phone Number: | 2318349513 |
| Business Fax Number: | 2318349524 |
| Mailing Address: | 9433 Annie Ln, NEWAYGO |
| State: | MI |
| Postal Code: | 493378012 |
| Phone Number: | 2318349513 |
| Fax Number: | 2318349524 |
| NPI Enumeration Date: | 07/26/2006 |
| NPI Last Update Date: | 01/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 6301007485 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |