Provider Demographics
NPI:1639853021
Name:CAMPER, TAMMY L (LSW)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:L
Last Name:CAMPER
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:TAMMY
Other - Middle Name:L
Other - Last Name:DARBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1977 S TEMPLETON CIR
Mailing Address - Street 2:
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-0873
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1977 S TEMPLETON CIR
Practice Address - Street 2:
Practice Address - City:COLLIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38017-0873
Practice Address - Country:US
Practice Address - Phone:409-659-9790
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW0000014227104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker