Provider Demographics
NPI:1508134826
Name:GINSBERG, TAMMI ELLEN (LCPC)
Entity Type:Individual
Prefix:
First Name:TAMMI
Middle Name:ELLEN
Last Name:GINSBERG
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17810 CORMORANT LN
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-3474
Mailing Address - Country:US
Mailing Address - Phone:301-529-6871
Mailing Address - Fax:
Practice Address - Street 1:17810 CORMORANT LN
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-3474
Practice Address - Country:US
Practice Address - Phone:301-529-6871
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-01
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC4181101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional