Provider Demographics
NPI:1932277738
Name:RENCH, TAMMY LYNN (MSW, LISW)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:LYNN
Last Name:RENCH
Suffix:
Gender:F
Credentials:MSW, LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 N OHIO AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SIDNEY
Mailing Address - State:OH
Mailing Address - Zip Code:45365-2786
Mailing Address - Country:US
Mailing Address - Phone:937-492-4920
Mailing Address - Fax:937-492-4945
Practice Address - Street 1:113 N OHIO AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:SIDNEY
Practice Address - State:OH
Practice Address - Zip Code:45365-2786
Practice Address - Country:US
Practice Address - Phone:937-492-4920
Practice Address - Fax:937-492-4945
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH00089081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical