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NPI Code Detail

MEDICARE: ANN MARIE TOMMANEY

MEDICARE: ANN MARIE TOMMANEY
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
1103T00000XPsychologistPSY32120CA

General Provider Information

NPI Number : 1922217496
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN MARIE TOMMANEY
Provider Business Mailing Address
First Line : 607 ELMIRA RD
Second Line :
City : VACAVILLE
State : CA
Zip : 95687-4655
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1272 HAYES ST
Second Line :
City : NAPA
State : CA
Zip : 94559-1711
Country : US
Telephone Number : 707-255-0966
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2007
Last Update Date : 12/17/2024

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Directions to “ ANN MARIE TOMMANEY ” Practice Location

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