Provider Demographics
NPI:1932244365
Name:SPRY, TAMMY A (HEARING AID DEALER,)
Entity Type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:A
Last Name:SPRY
Suffix:
Gender:F
Credentials:HEARING AID DEALER,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:827 W GLEN PARK AVE
Mailing Address - Street 2:
Mailing Address - City:GRIFFITH
Mailing Address - State:IN
Mailing Address - Zip Code:46319-2027
Mailing Address - Country:US
Mailing Address - Phone:219-934-9747
Mailing Address - Fax:
Practice Address - Street 1:827 W GLEN PARK AVE
Practice Address - Street 2:
Practice Address - City:GRIFFITH
Practice Address - State:IN
Practice Address - Zip Code:46319-2027
Practice Address - Country:US
Practice Address - Phone:219-934-9747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN171044237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist