Grass, Theresa
Grass, Theresa is an sole proprietor health care provider with primary practice located at 3011 N Michigan St , Pittsburg KS 66762-2546. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Grass, Theresa can be contacted via phone (620) 231-9873.Contact Information
Primary practice address
3011 N Michigan St
Pittsburg KS 66762-2546
Phone: (620) 231-9873
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 2593 | Kansas |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 2657 | Kansas |
Profile Details
| NPI number | 1770974644 |
|---|---|
| LBN Legal business name | Grass, Theresa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 12th, 2015 |
| Last updated | May 11th, 2022 - about 2 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 | 1770974644 | NPPES |
| Kansas | MEDICAID | 100240930A |
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