Judy, Teresa I.
Judy, Teresa I. is an individual health care provider with primary practice located at 6541 Specker Ave Building 1830, Fort Carson CO 80913-4263. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Judy, Teresa I. can be contacted via phone (719) 503-7829.Contact Information
Primary practice address
6541 Specker Ave Building 1830
Fort Carson CO 80913-4263
Phone: (719) 503-7829
Fax: (719) 503-7884
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 1025 | Nebraska |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1399 | Nebraska |
Profile Details
| NPI number | 1306018833 |
|---|---|
| LBN Legal business name | Judy, Teresa I. |
| Credentials | LCSW, LIMHP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 25th, 2008 |
| Last updated | Feb 19th, 2021 - about 4 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 | 1306018833 | NPPES |
| Nebraska | Other | 1399 | NEBRASKA DEPT OF HEALTH AND HUMAN SERVICES |
| Nebraska | Other | 1025 | NEBRASKA DEPT OF HEALTH AND HUMAN SERVICES |
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