Provider Demographics
NPI:1649022278
Name:HASKINS, TAMIA ANITA
Entity type:Individual
Prefix:
First Name:TAMIA
Middle Name:ANITA
Last Name:HASKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5530 TABBS CREEK CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27565-5906
Mailing Address - Country:US
Mailing Address - Phone:984-514-5259
Mailing Address - Fax:
Practice Address - Street 1:5530 TABBS CREEK CHURCH RD
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:NC
Practice Address - Zip Code:27565-5906
Practice Address - Country:US
Practice Address - Phone:984-514-5259
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-05
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities