Mccrary, Teresa Rose

Mccrary, Teresa Rose is an sole proprietor health care provider with primary practice located at 1504 Leander Rd , Georgetown TX 78628-8801. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mccrary, Teresa Rose can be contacted via phone (512) 864-9262.

Contact Information

Primary practice address
1504 Leander Rd Georgetown TX 78628-8801
Phone: (512) 864-9262
Fax: (512) 864-0930
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 37297 Texas

Profile Details

NPI number 1568470987
LBN Legal business name Mccrary, Teresa Rose
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2006
Last updated Jul 8th, 2007 - about 18 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 1568470987 NPPES
Texas Other 0028LJ BLUE CROSS BLUE SHIELD

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