Provider Demographics
NPI:1477729127
Name:HUNT, TAMMY LYNN (LCSW)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:LYNN
Last Name:HUNT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14021 AMARGOSA ROAD, SUITE 100
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92392-2432
Mailing Address - Country:US
Mailing Address - Phone:760-881-7631
Mailing Address - Fax:760-881-7876
Practice Address - Street 1:14021 AMARGOSA RD STE 100
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92392-6404
Practice Address - Country:US
Practice Address - Phone:760-881-7631
Practice Address - Fax:760-881-7876
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-02
Last Update Date:2015-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical