1316212749 Kowanda Tenkapowom
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Active
Basic Information
- Full Name
- Kowanda Tenkapowom
- Gender
- Female
- Enumeration Date
- March 19, 2012
- Last Update
- March 19, 2012
Practice Location
- Address
- 3421 MIKE PADGETT HWY
AUGUSTA, GA 309063815 - Phone
- (706) 432-7893
- Fax
- (706) 432-3780
Mailing Address
- Address
- 3347 RAVENWOOD DR
AUGUSTA, GA 309073574 - Phone
- (706) 432-7893
- Fax
- (706) 432-3780
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Intellectual & Developmental Disabilities Psychologist Intellectual & Developmental Disabilities | 103TM1800X | Psychologist | N/A | N/A | No |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000606317B | 05 | GA | N/A |
Frequently Asked Questions
What is Kowanda Tenkapowom's NPI number?
Kowanda Tenkapowom's NPI number is 1316212749.
Which doctor has NPI number 1316212749?
The doctor with NPI number 1316212749 is Kowanda Tenkapowom.
What is Kowanda Tenkapowom's practice address?
Kowanda Tenkapowom's practice address is 3421 MIKE PADGETT HWY, AUGUSTA, GA, 309063815.
Which doctor practices at 3421 MIKE PADGETT HWY, AUGUSTA, GA, 309063815?
Kowanda Tenkapowom practices at 3421 MIKE PADGETT HWY, AUGUSTA, GA, 309063815.
What is Kowanda Tenkapowom's mailing address?
Kowanda Tenkapowom's mailing address is 3347 RAVENWOOD DR, AUGUSTA, GA, 309073574.
What is Kowanda Tenkapowom's phone number?
Kowanda Tenkapowom's phone number is (706) 432-7893.
Who is (706) 432-7893?
(706) 432-7893 is the phone number for Kowanda Tenkapowom.
What is Kowanda Tenkapowom's specialty?
Kowanda Tenkapowom's specialty is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility.
What type of doctor is Kowanda Tenkapowom?
Kowanda Tenkapowom is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility.
Is Kowanda Tenkapowom a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities?
Yes, Kowanda Tenkapowom is a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
Is Kowanda Tenkapowom still practicing?
Yes, Kowanda Tenkapowom is currently practicing.
Is Kowanda Tenkapowom accepting new patients?
Kowanda Tenkapowom may be accepting new patients. Please call their office at (706) 432-7893 to inquire about availability.
Is NPI 1316212749 still active?
Yes, NPI 1316212749 is currently active.
Where does Kowanda Tenkapowom practice?
Kowanda Tenkapowom practices in AUGUSTA, GA.
Is Kowanda Tenkapowom a male or female doctor?
Kowanda Tenkapowom is a female doctor.