Ayllon, Teodoro J
Ayllon, Teodoro J is an individual health care provider with primary practice located at 3400 Peachtree Rd 1537, Atlanta GA 30326. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Ayllon, Teodoro J can be contacted via phone (404) 869-1509.Contact Information
Primary practice address
3400 Peachtree Rd 1537
Atlanta GA 30326
Phone: (404) 869-1509
Fax: (404) 325-8307
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 510 | Georgia |
Profile Details
| NPI number | 1982647798 |
|---|---|
| LBN Legal business name | Ayllon, Teodoro J |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1982647798 | NPPES |
| Georgia | Other | 52144586 | BCBS |
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