Provider Demographics
NPI:1396227641
Name:TOMLINSON, SUMMER JOY
Entity Type:Individual
Prefix:
First Name:SUMMER
Middle Name:JOY
Last Name:TOMLINSON
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 1:220 E BELL AVE
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16602-5202
Mailing Address - Country:US
Mailing Address - Phone:814-232-7369
Mailing Address - Fax:
Practice Address - Street 1:220 E BELL AVE
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16602-5202
Practice Address - Country:US
Practice Address - Phone:814-232-7369
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-04
Last Update Date:2018-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator