Provider Demographics
NPI:1801333240
Name:STEINER, TAMMY (MA)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:
Last Name:STEINER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:TAMMY
Other - Middle Name:
Other - Last Name:HUBBARD-STEINER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA,
Mailing Address - Street 1:1520 S 4TH ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62246-2618
Mailing Address - Country:US
Mailing Address - Phone:618-664-1455
Mailing Address - Fax:
Practice Address - Street 1:1520 S 4TH ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:IL
Practice Address - Zip Code:62246-2618
Practice Address - Country:US
Practice Address - Phone:618-664-1455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-24
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor