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DR. TAMMY LYNN KORDES PH.D.

Clinical Neuropsychologist

Erie, Pennsylvania

Provider NPI: 1932175171

Provider Information:
DR. TAMMY LYNN KORDES PH.D.
Gender: F
Not Sole Proprietor

Practice Location:
120 E 2ND ST THIRD FLOOR ERIE, PA 16507 US
Tel: 814-877-8013  Fax: 814-877-8007

Business Mailing Address:
120 E 2ND ST THIRD FLOOR ERIE, PA 16507 US
Tel: 814-877-8013  Fax: 814-877-8007

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
PAPS-015999-L
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
PAPS-015999-L

Other Provider Identifiers:

IssuerNumberStateType
Q67245PA02
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS PA - Page 1

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