Fisher, Teresa Blevins
Fisher, Teresa Blevins is an sole proprietor health care provider with primary practice located at 12 Walk Hill St , Jamaica Plain MA 02130-4115. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is her primary health care specialty. Fisher, Teresa Blevins can be contacted via phone (508) 202-1047.Contact Information
Primary practice address
12 Walk Hill St
Jamaica Plain MA 02130-4115
Phone: (508) 202-1047
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | 9516 | Massachusetts |
Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 9516 | Massachusetts |
Profile Details
NPI number | 1487913406 |
---|---|
LBN Legal business name | Fisher, Teresa Blevins |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 11th, 2012 |
Last updated | Jul 2nd, 2021 - about 3 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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