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
Phone: (254) 776-3632
Fax: (254) 776-8181
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1942292719 | NPPES |
Texas | Other | 00J50P | BLUE CROSS BLUE SHIELD |
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