Tammi Evans Witherspoon, is a
Psychologist based in Arlington, Texas. Tammi Evans Witherspoon is licensed to practice in Texas (license number ) and her current practice location is
1119 W Pioneer Pkwy, Suite 115, Arlington, Texas. She can be reached at her office (for appointments etc.) via phone at
(682) 238-3831.
NPI number for Tammi Evans Witherspoon is 1114477403 and her current mailing address is 1119 W Pioneer Pkwy, Suite 115, Arlington, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114477403.
Healthcare Provider's Profile
| Full Name | Tammi Evans Witherspoon |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist |
|---|
| Location | 1119 W Pioneer Pkwy, Arlington, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1114477403
- Provider Enumeration Date: 10/11/2016
- Last Update Date: 10/14/2016
Medical Identifiers
Medical identifiers for Tammi Evans Witherspoon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114477403 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Texas) | Secondary |
| 101YM0800X | Counselor - Mental Health | (Texas) | Secondary |
| 101YP1600X | Counselor - Pastoral | (Texas) | Secondary |
| 103T00000X | Psychologist | (Texas) | Primary |
| 106H00000X | Marriage & Family Therapist | (Texas) | Secondary |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | (Texas) | Secondary |
| 320900000X | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities | (Texas) | Secondary |
| 320600000X | Residential Treatment Facility, Intellectual And/or Developmental Disabilities | (Texas) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (Texas) | Secondary |
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | (Texas) | Secondary |
| 273R00000X | Psychiatric Unit | (Texas) | Secondary |
| 282J00000X | Religious Nonmedical Health Care Institution | (Texas) | Secondary |
| 284300000X | Special Hospital | (Texas) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tammi Evans Witherspoon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tammi Evans Witherspoon,
1119 W Pioneer Pkwy, Suite 115,
Arlington, TX 76013-7604
Ph: (682) 238-3831 | Tammi Evans Witherspoon,
1119 W Pioneer Pkwy, Suite 115,
Arlington, TX 76013-7604
Ph: (682) 238-3831 |
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