Goodman, Teresa Marie

Goodman, Teresa Marie is an individual health care provider with primary practice located at 518 28 Rd Ste B209, Grand Junction CO 81501-6556. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Goodman, Teresa Marie can be contacted via phone (970) 245-3212.

Contact Information

Primary practice address
518 28 Rd Ste B209 Grand Junction CO 81501-6556
Phone: (970) 245-3212
Fax: (970) 245-3216
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1360 Colorado

Profile Details

NPI number 1902886641
LBN Legal business name Goodman, Teresa Marie
Credentials MA, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Jul 9th, 2007 - 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 1902886641 NPPES
Colorado Other 605638 BCBS
Colorado Other 082236 BCBS
Colorado MEDICAID 91122228 BCBS

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