Provider Demographics
NPI:1023330446
Name:SPRINGER, TAMMY KAY (LMFT)
Entity type:Individual
Prefix:MS
First Name:TAMMY
Middle Name:KAY
Last Name:SPRINGER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12099 COUNTY ROAD 10
Mailing Address - Street 2:
Mailing Address - City:HANSKA
Mailing Address - State:MN
Mailing Address - Zip Code:56041-4160
Mailing Address - Country:US
Mailing Address - Phone:507-375-3546
Mailing Address - Fax:
Practice Address - Street 1:12099 COUNTY ROAD 10
Practice Address - Street 2:
Practice Address - City:HANSKA
Practice Address - State:MN
Practice Address - Zip Code:56041-4160
Practice Address - Country:US
Practice Address - Phone:507-375-3546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-26
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1761106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist