Provider Demographics
NPI:1235919804
Name:GARVER, TAMMY (MS)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:
Last Name:GARVER
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 1:649 E 8TH ST
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OH
Mailing Address - Zip Code:44460-1637
Mailing Address - Country:US
Mailing Address - Phone:330-831-0233
Mailing Address - Fax:
Practice Address - Street 1:649 E 8TH ST
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OH
Practice Address - Zip Code:44460-1637
Practice Address - Country:US
Practice Address - Phone:330-831-0233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator