Emerson, M. Theresa

Emerson, M. Theresa is an sole proprietor health care provider with primary practice located at 6609 Sanger Ave , Waco TX 76710-4252. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Emerson, M. Theresa can be contacted via phone (254) 776-3632.

Contact Information

Primary practice address
6609 Sanger Ave Waco TX 76710-4252
Fax: (254) 776-8181
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 22851 Texas

Profile Details

NPI number 1942292719
LBN Legal business name Emerson, M. Theresa
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2005
Last updated Jul 10th, 2012 - about 12 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 1942292719 NPPES
Texas Other 00J50P BLUE CROSS BLUE SHIELD

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