Davis, Terasa Lynn
Davis, Terasa Lynn is an sole proprietor health care provider with primary practice located at 661 Helen Keller Blvd Ste B , Tuscaloosa AL 35404-2964. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Davis, Terasa Lynn can be contacted via phone (205) 391-9777.Contact Information
Primary practice address
661 Helen Keller Blvd Ste B
Tuscaloosa AL 35404-2964
Phone: (205) 391-9777
Fax: (205) 391-9766
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 906 | Alabama |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | #906 | Alabama |
Profile Details
| NPI number | 1659333987 |
|---|---|
| LBN Legal business name | Davis, Terasa Lynn |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Sep 28th, 2019 - about 5 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 | 1659333987 | NPPES |
| Alabama | Other | 515-23502 | BCBS |
| Alabama | MEDICAID | 890010770 | BCBS |
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