Provider Demographics
NPI:1518857853
Name:STANFIELD, TAMMY JUNE (SLP)
Entity type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:JUNE
Last Name:STANFIELD
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:164 GRACIE GARDENS CT
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30263-4674
Mailing Address - Country:US
Mailing Address - Phone:404-992-2656
Mailing Address - Fax:
Practice Address - Street 1:164 GRACIE GARDENS CT
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30263-4674
Practice Address - Country:US
Practice Address - Phone:404-992-2656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP006736235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty