| Tammy Delbruegge, Llc | |
|
2745 High Ridge Blvd Ste 13 High Ridge MO 63049-2200 | |
| (636) 343-7460 | |
| Not Available |
| Full Name | Tammy Delbruegge, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2745 High Ridge Blvd Ste 13, High Ridge, Missouri |
| Authorized Official Name and Position | Tammy Delbruegge (SOLE-PROPRIETOR) |
| Authorized Official Contact | 6363437460 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tammy Delbruegge, Llc 4404 Schumacher Rd High Ridge MO 63049-2818 Ph: (636) 343-7460 | Tammy Delbruegge, Llc 2745 High Ridge Blvd Ste 13 High Ridge MO 63049-2200 Ph: (636) 343-7460 |
| NPI Number | 1699949818 |
|---|---|
| Provider Enumeration Date | 04/18/2008 |
| Last Update Date | 04/18/2008 |
| Medicare PECOS PAC ID | 0345312575 |
|---|---|
| Medicare Enrollment ID | O20080703000527 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699949818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 005861 (Missouri) | Primary |
| Provider Name | Tammy G Delbruegge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821042284 PECOS PAC ID: 4981614310 Enrollment ID: I20060501000350 |
James Partain Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2488a Gravois Rd, High Ridge, MO 63049 Phone: 314-814-9004 |