| NPI | 1770532558 |
|---|---|
| Former Name | TAMMY LYNN VINZANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IA 000984) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IA 000463) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2007-12-19 |