Provider Demographics
NPI:1841456951
Name:REDL, TAMMY LYNN (HIS)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:LYNN
Last Name:REDL
Suffix:
Gender:
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 N CENTRAL AVE FL 1819
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85004-2322
Mailing Address - Country:US
Mailing Address - Phone:602-562-9077
Mailing Address - Fax:
Practice Address - Street 1:3509 E SHEA BLVD STE 117
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85028-3339
Practice Address - Country:US
Practice Address - Phone:720-385-3700
Practice Address - Fax:602-996-3060
Is Sole Proprietor?:No
Enumeration Date:2008-07-29
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist