Healthcare Provider Details

I. General information

NPI: 1083618318
Provider Name (Legal Business Name): TAMMY LEA VANOVER AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TAMMY L. DUNN AUD

II. Dates (important events)

Enumeration Date: 05/31/2005
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 S UNIVERSITY AVE STE A13
LITTLE ROCK AR
72205-5342
US

IV. Provider business mailing address

500 S UNIVERSITY AVE STE A13
LITTLE ROCK AR
72205-5344
US

V. Phone/Fax

Practice location:
  • Phone: 501-664-0337
  • Fax: 501-664-8191
Mailing address:
  • Phone: 501-664-0337
  • Fax: 501-664-8191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberA106
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: