Provider Demographics
NPI:1003618737
Name:TANYI, SOPHY TEMBIEU
Entity type:Individual
Prefix:
First Name:SOPHY
Middle Name:TEMBIEU
Last Name:TANYI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13905 BRIARWOOD DR APT 533
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-1340
Mailing Address - Country:US
Mailing Address - Phone:757-502-9614
Mailing Address - Fax:
Practice Address - Street 1:13905 BRIARWOOD DR APT 533
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20708-1340
Practice Address - Country:US
Practice Address - Phone:757-502-9614
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-25
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No104100000XBehavioral Health & Social Service ProvidersSocial Worker