Provider Demographics
NPI:1285452326
Name:SHARTZER, TAMMY DANNIELLE
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:DANNIELLE
Last Name:SHARTZER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4574 WHISPERING OAKS DR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32309-7407
Mailing Address - Country:US
Mailing Address - Phone:850-545-4347
Mailing Address - Fax:
Practice Address - Street 1:2450 MAITLAND CENTER PKWY
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-4140
Practice Address - Country:US
Practice Address - Phone:786-432-5464
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-27
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health