Blaich, Tammy

Blaich, Tammy is an individual health care provider with primary practice located at 3751 W Main St , Independence KS 67301-8446. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Blaich, Tammy can be contacted via phone (620) 331-1748.

Contact Information

Primary practice address
3751 W Main St Independence KS 67301-8446
Phone: (620) 331-1748
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 039 Kansas
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCAC 523 Kansas

Profile Details

NPI number 1801992730
LBN Legal business name Blaich, Tammy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Dec 1st, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801992730 NPPES
Kansas MEDICAID 200441290A

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