Key-Piciucco, Teresa A.

Key-Piciucco, Teresa A. is an individual health care provider with primary practice located at 68 W Church St Ste 318 , Newark OH 43055-5050. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Key-Piciucco, Teresa A. can be contacted via phone (740) 281-1777.

Contact Information

Primary practice address
68 W Church St Ste 318 Newark OH 43055-5050
Phone: (740) 281-1777
Fax: (740) 281-1778
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 821 West Virginia
Behavioral Health & Social Service Providers / Professional 101YP2500X 1291 West Virginia

Profile Details

NPI number 1033279765
LBN Legal business name Key-Piciucco, Teresa A.
Credentials PYSCH ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Nov 24th, 2020 - about 5 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 1033279765 NPPES
West Virginia Other 588982000 MAGELLAN MIS NUMBER
West Virginia Other Y01291 MAGELLAN MIS NUMBER
West Virginia MEDICAID 0005456001 MAGELLAN MIS NUMBER
West Virginia Other 001719061 MAGELLAN MIS NUMBER
West Virginia Other 2171255 MAGELLAN MIS NUMBER

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