Provider Demographics
NPI:1770751810
Name:SPEIR, TAMMY PINGITORE (LMSW)
Entity type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:PINGITORE
Last Name:SPEIR
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MRS
Other - First Name:TAMMY
Other - Middle Name:
Other - Last Name:PINGITORE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:10744 LINCOLN DR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48070-1533
Mailing Address - Country:US
Mailing Address - Phone:248-594-8230
Mailing Address - Fax:
Practice Address - Street 1:380 N OLD WOODWARD AVE
Practice Address - Street 2:SUITE 156
Practice Address - City:BIRMINGHAM
Practice Address - State:MI
Practice Address - Zip Code:48009-5347
Practice Address - Country:US
Practice Address - Phone:248-594-8230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-12
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010595801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical