MEDICARE: TAMMY GEER MCD 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
1	235Z00000X	Speech-Language Pathologist	SP5920	OH
2	235Z00000X	Speech-Language Pathologist	S2539	MS

General Provider Information

NPI Number	:	1639625197
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMMY GEER MCD CCC-SLP

Provider Business Mailing Address
First Line	:	5735 CLEMENS DR
Second Line	:
City	:	LOVELAND
State	:	OH
Zip	:	45140-9271
Country	:	US
Telephone Number	:	901-848-5643
Fax Number	:

Provider Business Practice Location Address
First Line	:	5735 CLEMENS DR
Second Line	:
City	:	LOVELAND
State	:	OH
Zip	:	45140-9271
Country	:	US
Telephone Number	:	901-848-5643
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2016
Last Update Date	:	08/25/2016

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Directions to “ TAMMY GEER MCD CCC-SLP” Practice Location

Language	Start Address	Practice Location

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