Lichtman, Theresa Ann

Lichtman, Theresa Ann is an sole proprietor health care provider with primary practice located at 21000 Education Ct , Broadlands VA 20148. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is her primary health care specialty. Lichtman, Theresa Ann can be contacted via phone (572) 252-2214.

Contact Information

Primary practice address
21000 Education Ct Broadlands VA 20148
Phone: (572) 252-2214
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810002799 Virginia
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1245263961
LBN Legal business name Lichtman, Theresa Ann
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2006
Last updated May 23rd, 2018 - about 6 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 1245263961 NPPES
Virginia Other 192046 ANTHEM PPO

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