Organization
TAMMY GIANNOPOULOS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY GIANNOPOULOS LCSW (PSYCHOTHERAPIST)
(414) 331-8167
Entity
Organization
Contact information
Practice address
4402 S 68TH ST SUITE 100, GREENFIELD, WI 53220
(414) 331-8167
(414) 321-0552
Mailing address
4402 S 68TH ST SUITE 100, GREENFIELD, WI 53220
(414) 331-8167
(414) 321-0552
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
7779-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100016425
—
WI
Enumeration date
10/22/2014
Last updated
10/22/2014
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