| Doctor Name: | DR. TAMMY CROY MCMILLIAN |
| NPI Number: | 1639235898 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D., LMSW |
| License Number: | 6801070736 |
| Business Practice Address: | 202 S Lake St Suite L Boyne City, MI - 497121808 |
| Business Phone Number: | 2315820553 |
| Business Fax Number: | 2315820553 |
| Mailing Address: | 202 South Lake Street, Suite L BOYNE CITY |
| State: | MI |
| Postal Code: | 497121535 |
| Phone Number: | 2315820553 |
| Fax Number: | 2315820553 |
| NPI Enumeration Date: | 12/29/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6801070736 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |