MEDICARE: TAMMI LYNN VON WRYEZA-RAS MSEDC, LMHC

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	101Y00000X	Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00030241501	OTHER	NY	UNIVERA
2	000506354003	OTHER	NY	COMMUNITY BLUE

General Provider Information

NPI Number	:	1043255417
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMMI LYNN VON WRYEZA-RAS MSEDC, LMHC

Provider Business Mailing Address
First Line	:	2680 GRAND ISLAND BLVD
Second Line	:
City	:	GRAND ISLAND
State	:	NY
Zip	:	14072-1693
Country	:	US
Telephone Number	:	716-775-7566
Fax Number	:

Provider Business Practice Location Address
First Line	:	2680 GRAND ISLAND BLVD
Second Line	:
City	:	GRAND ISLAND
State	:	NY
Zip	:	14072-1693
Country	:	US
Telephone Number	:	716-775-7566
Fax Number	:

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

Provider Enumeration Date	:	06/18/2006
Last Update Date	:	01/29/2015

Similar Medicare Providers

1417954678 — MRS. MARY ERIN KOPREVICH CRC, LCSW-R
Practice Location Address:

2680 GRAND ISLAND BLVD
GRAND ISLAND, NY
14072-1693

Practice Phone: 716-573-7026
Practice Fax: 716-773-5642

1770305377 — TESSA BRIGGS
Practice Location Address:

615 ROCK SLIDE LN APT 814
GRAND JUNCTION, CO
81505-1693

Practice Phone: 801-472-1663
Practice Fax:

1831260058 — PIERRE RICHARD THOMAS LCSW
Practice Location Address:

200 CODY PL
STATEN ISLAND, NY
10312-1693

Practice Phone: 646-436-8393
Practice Fax:

1265889604 — CAERKILLIAN LLC
Practice Location Address:

1000 MAIN ST , SUITE 200E
HILTON HEAD ISLAND, SC
29926-1693

Practice Phone: 843-785-6400
Practice Fax: 843-785-6405

1629739180 — AMY GOLDBERG
Practice Location Address:

1000 MAIN ST
HILTON HEAD ISLAND, SC
29926-1693

Practice Phone: 843-715-0805
Practice Fax:

1396740312 — DR. WILLIAM JOHN WALDRON OD
Practice Location Address:

2099 GRAND ISLAND BLVD , STE A
GRAND ISLAND, NY
14072-2169

Practice Phone: 716-773-7653
Practice Fax: 716-773-3187

Directions to “ TAMMI LYNN VON WRYEZA-RAS MSEDC, LMHC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.