Jaworski, Theresa

Jaworski, Theresa is an individual health care provider with primary practice located at 5330 Main St Suite 240, Williamsville NY 14221-5360. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jaworski, Theresa can be contacted via phone (716) 626-9016.

Contact Information

Primary practice address
5330 Main St Suite 240 Williamsville NY 14221-5360
Phone: (716) 626-9016
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 12482-1 New York

Profile Details

NPI number 1679567952
LBN Legal business name Jaworski, Theresa
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2005
Last updated Jul 8th, 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 1679567952 NPPES
New York Other 000523924001 BLUE CROSS

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