DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS TAMMY LYNN WALLS

Active Sole Proprietor

MISS TAMMY LYNN WALLS is a Developmental Therapist healthcare provider located in EDWARDSVILLE, Illinois. NPI 1124261680 is currently active in the NPPES registry. Verify at CMS.

Developmental Therapist · EDWARDSVILLE, IL

Registration Details

NPI Number
1124261680
Provider Type
Individual
Gender
Female
NPI Issued
Apr 14, 2009 (17.316031026366 yrs)
Last Updated
Apr 14, 2009
Sole Proprietor
Yes

Practice Information

Address
1523 RITTER ST
APT. A
EDWARDSVILLE, IL, 620251044
Browse IL providers · Browse ZIP 62025
Phone
6189780690
Primary Specialty
Developmental Therapist
222Q00000X

Other Developmental Therapist Providers in EDWARDSVILLE, IL

Name Credential NPI
STACEY LEBRO D.T. 1265553796
MRS. CHANTILLE RENEE SCHRAM DT 1619138435
MRS. LISA MARIE STUBITS 1790929461
TANIKA HARPER-HOOVER 1881996304
KELLY LYNNE MCFERRAN-CRUTHIS 1558633412
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.