Provider Demographics
NPI:1841427275
Name:OCCHIPINTI, TAMMY (MFT)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:
Last Name:OCCHIPINTI
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23421 S POINTE DR
Mailing Address - Street 2:SUITE 130
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-1553
Mailing Address - Country:US
Mailing Address - Phone:949-422-5114
Mailing Address - Fax:
Practice Address - Street 1:23421 S POINTE DR
Practice Address - Street 2:SUITE 130
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-1553
Practice Address - Country:US
Practice Address - Phone:949-422-5114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-11
Last Update Date:2009-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA38160106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist