Provider Demographics
NPI:1780088708
Name:WOSLAGER, TAMMY J (PLMHP)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:J
Last Name:WOSLAGER
Suffix:
Gender:F
Credentials:PLMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1119 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NE
Mailing Address - Zip Code:68787-1011
Mailing Address - Country:US
Mailing Address - Phone:402-518-1225
Mailing Address - Fax:
Practice Address - Street 1:1119 SUNSET DR
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NE
Practice Address - Zip Code:68787-1011
Practice Address - Country:US
Practice Address - Phone:402-518-1225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-20
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
NE5959101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor