Provider Demographics
NPI:1881341741
Name:MAY, TAMMY RENAE (MA,CCC-SLP)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:RENAE
Last Name:MAY
Suffix:
Gender:F
Credentials:MA,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10033 EL PINAR DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-4118
Mailing Address - Country:US
Mailing Address - Phone:865-661-8080
Mailing Address - Fax:
Practice Address - Street 1:3222 BYINGTON BEAVER RIDGE RD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37931-3317
Practice Address - Country:US
Practice Address - Phone:865-661-8080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-09
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000001851235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist