Individual
MS. TAMMY HERRINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2729 W GRISWOLD RD, PHOENIX, AZ 85051-4067
(602) 441-4335
Mailing address
2729 W GRISWOLD RD, PHOENIX, AZ 85051-4067
(602) 441-4335
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
11300
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
986573
AHCCCS ID NUMBER
AZ
Enumeration date
11/28/2006
Last updated
11/16/2007
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