Wilgenbusch, Tammy Lynn

Wilgenbusch, Tammy Lynn is an individual health care provider with primary practice located at 200 Hawkins Dr , Iowa City IA 52242-1009. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Wilgenbusch, Tammy Lynn can be contacted via phone (319) 384-7999.

Contact Information

Primary practice address
200 Hawkins Dr Iowa City IA 52242-1009
Phone: (319) 384-7999
Fax: (319) 384-7899
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 000463 Iowa
Behavioral Health & Social Service Providers / Psychologist 103T00000X 000984 Iowa

Profile Details

NPI number 1770532558
LBN Legal business name Wilgenbusch, Tammy Lynn
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Dec 19th, 2007 - about 17 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 1770532558 NPPES
Iowa Other 06072 WELLMARK BC BS

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