Peacock, Tammy Ellen

Peacock, Tammy Ellen is an individual health care provider with primary practice located at 301 Andrew Avenue , Fort Rucker AL 36362-5333. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Peacock, Tammy Ellen can be contacted via phone (334) 255-7010.

Contact Information

Primary practice address
301 Andrew Avenue Fort Rucker AL 36362-5333
Phone: (334) 255-7010
Fax: (334) 255-7617
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 290 Alabama
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1012C Alabama

Profile Details

NPI number 1457682569
LBN Legal business name Peacock, Tammy Ellen
Credentials PH.D., LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2010
Last updated Jan 29th, 2010 - about 16 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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