Provider Demographics
NPI:1588844336
Name:BIRKENMEIER, TAMMY JOETTE (MA, LLFMT)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:JOETTE
Last Name:BIRKENMEIER
Suffix:
Gender:F
Credentials:MA, LLFMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3546 WASHBURN RD
Mailing Address - Street 2:
Mailing Address - City:VASSAR
Mailing Address - State:MI
Mailing Address - Zip Code:48768-9558
Mailing Address - Country:US
Mailing Address - Phone:989-823-8659
Mailing Address - Fax:
Practice Address - Street 1:8361 ELLIS RD.
Practice Address - Street 2:
Practice Address - City:MILLINGTON
Practice Address - State:MI
Practice Address - Zip Code:48746-0359
Practice Address - Country:US
Practice Address - Phone:989-871-6695
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-09
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health