Provider Demographics
NPI:1790043636
Name:HOUCHENS, TAMMY C (MS, SLP)
Entity Type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:C
Last Name:HOUCHENS
Suffix:
Gender:F
Credentials:MS, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9207 STATE ROAD 64
Mailing Address - Street 2:APT/SUITE
Mailing Address - City:GEORGETOWN
Mailing Address - State:IN
Mailing Address - Zip Code:47122-8833
Mailing Address - Country:US
Mailing Address - Phone:502-939-4156
Mailing Address - Fax:
Practice Address - Street 1:9207 STATE ROAD 64
Practice Address - Street 2:APT/SUITE
Practice Address - City:GEORGETOWN
Practice Address - State:IN
Practice Address - Zip Code:47122-8833
Practice Address - Country:US
Practice Address - Phone:502-939-4156
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-29
Last Update Date:2012-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1969235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist