Provider Demographics
NPI:1124405451
Name:ULMEN, TAMMY (LMFT)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:
Last Name:ULMEN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 CENTER AVE N
Mailing Address - Street 2:
Mailing Address - City:MADELIA
Mailing Address - State:MN
Mailing Address - Zip Code:56062-1429
Mailing Address - Country:US
Mailing Address - Phone:507-380-5813
Mailing Address - Fax:507-642-3151
Practice Address - Street 1:105 CENTER AVE N
Practice Address - Street 2:
Practice Address - City:MADELIA
Practice Address - State:MN
Practice Address - Zip Code:56062
Practice Address - Country:US
Practice Address - Phone:507-380-5813
Practice Address - Fax:507-642-8583
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-06
Last Update Date:2019-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2749106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist