Provider Demographics
NPI:1003661570
Name:JABARIN, TAMMY LYNN (MSW,MT)
Entity Type:Individual
Prefix:MS
First Name:TAMMY
Middle Name:LYNN
Last Name:JABARIN
Suffix:
Gender:F
Credentials:MSW,MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 TRENTON RD APT A
Mailing Address - Street 2:
Mailing Address - City:HULMEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-5614
Mailing Address - Country:US
Mailing Address - Phone:267-724-6555
Mailing Address - Fax:
Practice Address - Street 1:361 HIGHLAND AVE STE 205-206
Practice Address - Street 2:
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046-2632
Practice Address - Country:US
Practice Address - Phone:267-594-8734
Practice Address - Fax:267-627-3192
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-18
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty