Tamara Puddy
Individual provider Active NPI Intellectual & Developmental Disabilities Psychologist · Rocky Mount, NC
NPI 1609172121 · NPPES record last updated Jan 31, 2011
Key facts
- NPI
- 1609172121
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Intellectual & Developmental Disabilities Psychologist 103TM1800X
- Practice address
- 415 Ansley St
Rocky Mount, NC 27803-2104 - Phone
- (252) 885-1285
- NPI assigned
- Jan 31, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | NC | Yes |
Addresses
Primary practice location
415 Ansley St
Rocky Mount, NC 27803-2104
Mailing address
415 Ansley St
Rocky Mount, NC 27803-2104
Phone (252) 885-1285
Other providers in Rocky Mount, NC
- Project Momentum, Inc.
- Providence Care
- Ryan Thomas Pruitt
- Pruitthealth Hospice, Inc.
- Bonnie Przelomski
- Johnie Pugh
- Cheri Pullen
- Jennifer H Purvis
- John Varkey Puthenveetil
- Quality Care Health Services Inc.
All providers in Rocky Mount, NC · Intellectual & Developmental Disabilities Psychologist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.