1770751810 NPI number — MRS. TAMMY PINGITORE SPEIR LMSW

Table of content: MRS. TAMMY PINGITORE SPEIR LMSW (NPI 1770751810)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770751810 NPI number — MRS. TAMMY PINGITORE SPEIR LMSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SPEIR
Provider First Name:
TAMMY
Provider Middle Name:
PINGITORE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LMSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
PINGITORE
Provider Other First Name:
TAMMY
Provider Other Middle Name:
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
LMSW
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1770751810
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/12/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10744 LINCOLN DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HUNTINGTON WOODS
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48070-1533
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
248-594-8230
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
380 N OLD WOODWARD AVE
Provider Second Line Business Practice Location Address:
SUITE 156
Provider Business Practice Location Address City Name:
BIRMINGHAM
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48009-5347
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
248-594-8230
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/12/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  6801059580 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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