Provider Demographics
NPI:1528282423
Name:YOUMANS, TAMARA (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:TAMARA
Middle Name:
Last Name:YOUMANS
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 S CROSS ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48838-1776
Mailing Address - Country:US
Mailing Address - Phone:616-225-2027
Mailing Address - Fax:
Practice Address - Street 1:314 S CROSS ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:MI
Practice Address - Zip Code:48838-1776
Practice Address - Country:US
Practice Address - Phone:616-225-2027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist