Provider Demographics
NPI:1649876350
Name:FERREBEE, TAMMY SUE
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:SUE
Last Name:FERREBEE
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:PO BOX 312
Mailing Address - Street 2:
Mailing Address - City:PLATTE CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64079-0312
Mailing Address - Country:US
Mailing Address - Phone:816-585-5059
Mailing Address - Fax:
Practice Address - Street 1:214 FERREL ST
Practice Address - Street 2:PLATTE CITY
Practice Address - City:PLATTE CITY
Practice Address - State:MS
Practice Address - Zip Code:64079
Practice Address - Country:US
Practice Address - Phone:816-469-5162
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-08
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician