Individual
MRS. TAMMY S JUNTUNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPA
Contact information
Practice address
104 MARKET ST, HENDERSON, NC 27537-3751
(252) 431-4418
(252) 572-2418
Mailing address
104 MARKET ST, HENDERSON, NC 27537-3751
(919) 702-2939
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2348
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6707074
—
NC
Enumeration date
09/25/2006
Last updated
09/01/2023
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