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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144276874 NPPES
California Other 10769 SF CITY/COUNTY PROVIDER

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