Provider Demographics
NPI:1891043881
Name:MCCOY-ARBALLO, TAMMY (PSYD)
Entity Type:Individual
Prefix:DR
First Name:TAMMY
Middle Name:
Last Name:MCCOY-ARBALLO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:MRS
Other - First Name:TAMMY
Other - Middle Name:JEAN
Other - Last Name:MCCOY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:39755 MURRIETA HOT SPRINGS RD STE D160
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-9113
Mailing Address - Country:US
Mailing Address - Phone:760-885-6952
Mailing Address - Fax:
Practice Address - Street 1:39755 MURRIETA HOT SPRINGS RD STE D160
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-9113
Practice Address - Country:US
Practice Address - Phone:760-885-6952
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-22
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY28762103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist