Bryan-Pettit, Teresa Joyce

Bryan-Pettit, Teresa Joyce is an sole proprietor health care provider with primary practice located at 2524 Fm 691 , Sherman TX 75090-2357. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bryan-Pettit, Teresa Joyce can be contacted via phone (903) 893-6010.

Contact Information

Primary practice address
2524 Fm 691 Sherman TX 75090-2357
Phone: (903) 893-6010
Fax: (903) 893-6004
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 21739 Texas

Profile Details

NPI number 1417952177
LBN Legal business name Bryan-Pettit, Teresa Joyce
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2005
Last updated Jan 24th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417952177 NPPES
Texas MEDICAID 063914801
Texas Other 0032GZ

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