Chase, Terry Lee

Chase, Terry Lee is an individual health care provider with primary practice located at 13193 Central Ave Suite 200, Chino CA 91710-7200. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Chase, Terry Lee can be contacted via phone (909) 902-9111.

Contact Information

Primary practice address
13193 Central Ave Suite 200 Chino CA 91710-7200
Fax: (909) 902-9199
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY11141 California

Profile Details

NPI number 1447234679
LBN Legal business name Chase, Terry Lee
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447234679 NPPES
California MEDICAID PSY111411

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