Provider Demographics
NPI:1538213962
Name:KINIRY, TAMMY L (LMFT)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:L
Last Name:KINIRY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 VAN GER DR
Mailing Address - Street 2:
Mailing Address - City:BOW
Mailing Address - State:NH
Mailing Address - Zip Code:03304-4912
Mailing Address - Country:US
Mailing Address - Phone:603-856-8655
Mailing Address - Fax:
Practice Address - Street 1:130 PEMBROKE RD
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-5792
Practice Address - Country:US
Practice Address - Phone:603-881-7554
Practice Address - Fax:603-881-7533
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH171106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist