Individual
MS. TAMMY BAXTER HERRING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
3324 MONTMARTE AVE, HAZEL CREST, IL 60429-2238
(708) 922-0272
Mailing address
3324 MONTMARTE AVE, HAZEL CREST, IL 60429-2238
(708) 922-0272
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
TH8991
IL
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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