Ennis, Tammy Mae
Ennis, Tammy Mae is an individual health care provider with primary practice located at American School For The Deaf 139 North Main Street, West Hartford CT 06107. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Ennis, Tammy Mae can be contacted via phone (860) 956-3896.Contact Information
Primary practice address
American School For The Deaf 139 North Main Street
West Hartford CT 06107
Phone: (860) 956-3896
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 1041S0200X | 8575534140 | Connecticut |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2648 | Connecticut |
Profile Details
| NPI number | 1609538024 |
|---|---|
| LBN Legal business name | Ennis, Tammy Mae |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2021 |
| Last updated | Oct 13th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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