Tripp, Tammy

Tripp, Tammy is an individual health care provider with primary practice located at 3201 W Keiser Ave , Osceola AR 72370-3467. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Tripp, Tammy can be contacted via phone (870) 622-0592.

Contact Information

Primary practice address
3201 W Keiser Ave Osceola AR 72370-3467
Phone: (870) 622-0592
Fax: (870) 622-0782
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 5949-C Arkansas

Profile Details

NPI number 1518246438
LBN Legal business name Tripp, Tammy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2011
Last updated May 14th, 2018 - about 7 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 1518246438 NPPES
Arkansas MEDICAID 187841795

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