Macdavitt, Teresa

Macdavitt, Teresa is an individual health care provider with primary practice located at 747 E Etna Rd Unit B , Ottawa IL 61350-3777. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Macdavitt, Teresa can be contacted via phone (815) 993-1614.

Contact Information

Primary practice address
747 E Etna Rd Unit B Ottawa IL 61350-3777
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1760138242
LBN Legal business name Macdavitt, Teresa
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2022
Last updated Feb 23rd, 2022 - about 2 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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