Adelstein, Teddy
Adelstein, Teddy is an sole proprietor health care provider with primary practice located at 45 Windstone Dr , San Rafael CA 94903-1438. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Adelstein, Teddy can be contacted via phone (415) 381-2209.Contact Information
Primary practice address
45 Windstone Dr
San Rafael CA 94903-1438
Phone: (415) 381-2209
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY 12543 | California |
Profile Details
| NPI number | 1144276874 |
|---|---|
| LBN Legal business name | Adelstein, Teddy |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 25th, 2006 |
| Last updated | Dec 16th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144276874 | NPPES |
| California | Other | 10769 | SF CITY/COUNTY PROVIDER |
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