Provider Demographics
NPI:1386901924
Name:WOOD, TAMMY DAWN (MA, NCC)
Entity type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:DAWN
Last Name:WOOD
Suffix:
Gender:F
Credentials:MA, NCC
Other - Prefix:MISS
Other - First Name:TAMMY
Other - Middle Name:DAWN
Other - Last Name:FARRINGTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2721 NW PARK LN
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50023-1055
Mailing Address - Country:US
Mailing Address - Phone:515-975-5831
Mailing Address - Fax:
Practice Address - Street 1:2555 BERKSHIRE PKWY STE D
Practice Address - Street 2:
Practice Address - City:CLIVE
Practice Address - State:IA
Practice Address - Zip Code:50325-4646
Practice Address - Country:US
Practice Address - Phone:515-987-8835
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-20
Last Update Date:2012-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor