Bourdeau, Teri Leann
Bourdeau, Teri Leann is an sole proprietor health care provider with primary practice located at 2345 Southwest Blvd , Tulsa OK 74107-2705. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bourdeau, Teri Leann can be contacted via phone (918) 561-8383.Contact Information
Primary practice address
2345 Southwest Blvd
Tulsa OK 74107-2705
Phone: (918) 561-8383
Fax: (918) 561-8546
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1009 | Oklahoma |
Profile Details
| NPI number | 1811051238 |
|---|---|
| LBN Legal business name | Bourdeau, Teri Leann |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 20th, 2006 |
| Last updated | Feb 20th, 2014 - about 11 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 | 1811051238 | NPPES |
| Oklahoma | MEDICAID | 200078120A |
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