Provider Demographics
NPI:1871577148
Name:BRANCAMP, TAMI URBANI (PHD SLP)
Entity type:Individual
Prefix:MRS
First Name:TAMI
Middle Name:URBANI
Last Name:BRANCAMP
Suffix:
Gender:F
Credentials:PHD SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1155 MILL ST MS M14
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-1576
Mailing Address - Country:US
Mailing Address - Phone:775-982-5262
Mailing Address - Fax:775-982-3900
Practice Address - Street 1:1664 N VIRGINIA ST MS 152
Practice Address - Street 2:REDFIELD MEDICAL BUILDING
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89557-0152
Practice Address - Country:US
Practice Address - Phone:775-982-1000
Practice Address - Fax:775-982-3900
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVSP366235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVDA159YOtherMEDICARE PTAN#
NVNPI# 1871577148Medicaid