Provider Demographics
NPI:1225101850
Name:SANKEY, TAWNEY SUSAN
Entity Type:Individual
Prefix:
First Name:TAWNEY
Middle Name:SUSAN
Last Name:SANKEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:166 E CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-2337
Mailing Address - Country:US
Mailing Address - Phone:828-505-3649
Mailing Address - Fax:828-505-3649
Practice Address - Street 1:166 E CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2337
Practice Address - Country:US
Practice Address - Phone:828-505-3649
Practice Address - Fax:828-505-3649
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2599103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool