Individual
TAMMY CONKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 MARYLAND AVE, MCCOMB, MS 39648-3926
(601) 250-4815
Mailing address
195 CHURCHLAND RD, SAUGERTIES, NY 12477-4649
(845) 665-1219
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016417-01
NY
235Z00000X
Speech-Language Pathologist
103318
TX
Other
Enumeration date
11/06/2007
Last updated
07/29/2021
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