Provider Demographics
NPI:1174680136
Name:GARBER, TAMMY BROOKS (MS)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:BROOKS
Last Name:GARBER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2155 ELECTRIC RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-2302
Mailing Address - Country:US
Mailing Address - Phone:540-774-4441
Mailing Address - Fax:540-774-3393
Practice Address - Street 1:2155 ELECTRIC RD
Practice Address - Street 2:SUITE C
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-2302
Practice Address - Country:US
Practice Address - Phone:540-774-4441
Practice Address - Fax:540-774-3393
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2201000329231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist