Provider Demographics
NPI:1982473757
Name:ALDERMAN, TAMMIE LYNN (BA)
Entity type:Individual
Prefix:
First Name:TAMMIE
Middle Name:LYNN
Last Name:ALDERMAN
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:704 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:MARLINTON
Mailing Address - State:WV
Mailing Address - Zip Code:24954-1142
Mailing Address - Country:US
Mailing Address - Phone:304-799-6865
Mailing Address - Fax:304-799-6878
Practice Address - Street 1:704 3RD AVE
Practice Address - Street 2:
Practice Address - City:MARLINTON
Practice Address - State:WV
Practice Address - Zip Code:24954-1142
Practice Address - Country:US
Practice Address - Phone:304-799-6865
Practice Address - Fax:304-799-6878
Is Sole Proprietor?:No
Enumeration Date:2023-12-21
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator