Jefferson, Terry Wayne
Jefferson, Terry Wayne is an individual health care provider with primary practice located at 3209 Forest Brook Rd , Lynchburg VA 24501-3001. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Jefferson, Terry Wayne can be contacted via phone (434) 385-0744.Contact Information
Primary practice address
3209 Forest Brook Rd
Lynchburg VA 24501-3001
Phone: (434) 385-0744
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0810001866 | Virginia |
Profile Details
| NPI number | 1356339709 |
|---|---|
| LBN Legal business name | Jefferson, Terry Wayne |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 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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