Bodner, Tammie

Bodner, Tammie is an individual health care provider with primary practice located at 2700 W El Camino Real Apt 238 , Mountain View CA 94040-2894. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bodner, Tammie can be contacted via phone (414) 399-6122.

Contact Information

Primary practice address
2700 W El Camino Real Apt 238 Mountain View CA 94040-2894
Phone: (414) 399-6122
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 101569 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X 09004014383 Virginia
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801086551 Michigan

Profile Details

NPI number 1265777031
LBN Legal business name Bodner, Tammie
Credentials LMSW, ACSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2012
Last updated Jan 24th, 2023 - about 2 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 1265777031 NPPES
Other 123456 I DO NOT HAVE THIS INFORMATION

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