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NPI Code Detail

MEDICARE: TAMMY GREINER MS, CCC-SLP

MEDICARE: TAMMY GREINER MS, CCC-SLP
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
1235Z00000XSpeech-Language Pathologist6142NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1140R2OTHERNCBLUE CROSS BLUE SHIELD NC
2187334OTHERNCMEDCOST PROVIDER ID
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316086937
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMMY GREINER MS, CCC-SLP
Provider Business Mailing Address
First Line : 103 FREHOLD CT
Second Line :
City : CARY
State : NC
Zip : 27519-7372
Country : US
Telephone Number : 919-465-4424
Fax Number : 919-465-4427
Provider Business Practice Location Address
First Line : 103 FREHOLD CT
Second Line :
City : CARY
State : NC
Zip : 27519-7372
Country : US
Telephone Number : 919-465-4424
Fax Number : 919-465-4427
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2007
Last Update Date : 10/09/2007

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Directions to “ TAMMY GREINER MS, CCC-SLP” Practice Location

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