Agostinelli, Theresa

Agostinelli, Theresa is an individual health care provider with primary practice located at 210 W Front St , Media PA 19063-3147. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Agostinelli, Theresa can be contacted via phone (610) 656-1424.

Contact Information

Primary practice address
210 W Front St Media PA 19063-3147
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW017215 Pennsylvania

Profile Details

NPI number 1275686701
LBN Legal business name Agostinelli, Theresa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2007
Last updated Mar 30th, 2018 - about 6 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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