| Doctor Name: | MS. TAMMY LYNN FROSSARD |
| NPI Number: | 1902037682 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC |
| License Number: | 180009276 |
| Business Practice Address: | 4584 Meteor Ct Machesney Park, IL - 611152247 |
| Business Phone Number: | 8159856560 |
| Business Fax Number: | 8159698871 |
| Mailing Address: | 4584 Meteor Ct, MACHESNEY PARK |
| State: | IL |
| Postal Code: | 611152247 |
| Phone Number: | 8159856560 |
| Fax Number: | 8159698871 |
| NPI Enumeration Date: | 07/29/2009 |
| NPI Last Update Date: | 08/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 180009276 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |