Fletcher, Tommy Leroy
Fletcher, Tommy Leroy is an individual health care provider with primary practice located at 720 14Th Ave , Longview WA 98632-2315. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Fletcher, Tommy Leroy can be contacted via phone (360) 423-0203.Contact Information
Primary practice address
720 14Th Ave
Longview WA 98632-2315
Phone: (360) 423-0203
Fax: (360) 577-0187
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1659425619 |
|---|---|
| LBN Legal business name | Fletcher, Tommy Leroy |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Mar 4th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659425619 | NPPES |
| Washington | Other | A046 | TRICARE |
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