Marshall, Teresa J

Marshall, Teresa J is an sole proprietor health care provider with primary practice located at 2860 S. Circle Dr Ste 250L, Colorado Springs CO 80906-4132. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Marshall, Teresa J can be contacted via phone (719) 406-1223.

Contact Information

Primary practice address
2860 S. Circle Dr Ste 250L Colorado Springs CO 80906-4132
Phone: (719) 406-1223
Fax: (719) 465-1394
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY.0001394 Colorado
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 1394 Colorado

Profile Details

NPI number 1588627202
LBN Legal business name Marshall, Teresa J
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2006
Last updated Mar 21st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588627202 NPPES
Colorado MEDICAID 07013949

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