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NPI Code Detail

MEDICARE: MS. TAMMY JANE SPENGLER LCSW-C

MEDICARE: MS. TAMMY JANE SPENGLER LCSW-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor09953MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174849921
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TAMMY JANE SPENGLER LCSW-C
Provider Business Mailing Address
First Line : 5218 WOOD STOVE LANE
Second Line :
City : COLUMBIA
State : MD
Zip : 21045-1915
Country : US
Telephone Number : 443-248-3437
Fax Number : 443-863-5886
Provider Business Practice Location Address
First Line : 5457 TWIN KNOLLS RD,
Second Line : SUITE 300
City : COLUMBIA
State : MD
Zip : 21045-3296
Country : US
Telephone Number : 443-248-3437
Fax Number : 443-863-5886
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2010
Last Update Date : 08/28/2023

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