Provider Demographics
NPI:1316130156
Name:SPRINGMAN, TAMRA LEE (MS, LPC)
Entity type:Individual
Prefix:MS
First Name:TAMRA
Middle Name:LEE
Last Name:SPRINGMAN
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 WEST CENTRAL AVENUE
Mailing Address - Street 2:
Mailing Address - City:AVIS
Mailing Address - State:PA
Mailing Address - Zip Code:17721-1070
Mailing Address - Country:US
Mailing Address - Phone:570-753-3620
Mailing Address - Fax:
Practice Address - Street 1:302 WEST CENTRAL AVENUE
Practice Address - Street 2:
Practice Address - City:AVIS
Practice Address - State:PA
Practice Address - Zip Code:17721-1070
Practice Address - Country:US
Practice Address - Phone:570-753-3620
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-24
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC002690101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health