Provider Demographics
NPI:1932393568
Name:RINEHART, TAMMARA SUE (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:TAMMARA
Middle Name:SUE
Last Name:RINEHART
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:MS
Other - First Name:TAMMARA
Other - Middle Name:SUE
Other - Last Name:HESSEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:221 OSAGE RD
Mailing Address - Street 2:
Mailing Address - City:DERBY
Mailing Address - State:KS
Mailing Address - Zip Code:67037-2080
Mailing Address - Country:US
Mailing Address - Phone:316-789-8273
Mailing Address - Fax:
Practice Address - Street 1:221 OSAGE RD
Practice Address - Street 2:
Practice Address - City:DERBY
Practice Address - State:KS
Practice Address - Zip Code:67037-2080
Practice Address - Country:US
Practice Address - Phone:316-789-8273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-27
Last Update Date:2007-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2786235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist