Elder, Terrya

Elder, Terrya is an individual health care provider with primary practice located at 320 S Spruce St , Kenai AK 99611-7939. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Elder, Terrya can be contacted via phone (907) 283-7635.

Contact Information

Primary practice address
320 S Spruce St Kenai AK 99611-7939
Phone: (907) 283-7635
Fax: (907) 283-9575
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1041CO700X Alaska
Behavioral Health & Social Service Providers / Clinical 1041C0700X 802 Alaska

Profile Details

NPI number 1972775617
LBN Legal business name Elder, Terrya
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2008
Last updated Apr 1st, 2008 - 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 1972775617 NPPES
Alaska MEDICAID 1952440570

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