Provider Demographics
NPI:1902516479
Name:COURT-CUDD, TAMMY L (MSW, MS)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:L
Last Name:COURT-CUDD
Suffix:
Gender:F
Credentials:MSW, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3847 SKIPPACK PIKE
Mailing Address - Street 2:P.O. BOX 1299
Mailing Address - City:SKIPPACK
Mailing Address - State:PA
Mailing Address - Zip Code:19474-1299
Mailing Address - Country:US
Mailing Address - Phone:610-222-4110
Mailing Address - Fax:
Practice Address - Street 1:3847 SKIPPACK PIKE
Practice Address - Street 2:
Practice Address - City:SKIPPACK
Practice Address - State:PA
Practice Address - Zip Code:19474-1299
Practice Address - Country:US
Practice Address - Phone:610-222-4110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-25
Last Update Date:2022-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional