Tombroff, Tammy L

Tombroff, Tammy L is an sole proprietor health care provider with primary practice located at 3013 1St St , St Augustine FL 32084-2268. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Tombroff, Tammy L can be contacted via phone (904) 321-6049.

Contact Information

Primary practice address
3013 1St St St Augustine FL 32084-2268
Phone: (904) 321-6049
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW7218 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7218 Florida

Profile Details

NPI number 1972640985
LBN Legal business name Tombroff, Tammy L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2007
Last updated Jan 28th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972640985 NPPES
Florida Other 11359410 CAQH
Florida Other 270801 CAQH
Florida Other 2273051 CAQH
Florida Other Z072G CAQH

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