Nowak, Theresa Marie

Nowak, Theresa Marie is an sole proprietor health care provider with primary practice located at 233 Larch Ln , Lexington KY 40511-2006. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Nowak, Theresa Marie can be contacted via phone (859) 351-6471.

Contact Information

Primary practice address
233 Larch Ln Lexington KY 40511-2006
Phone: (859) 351-6471
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 128999 Kentucky
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 128999 Kentucky
Behavioral Health & Social Service Providers / Psychologist 103T00000X 128999 Kentucky

Profile Details

NPI number 1831714138
LBN Legal business name Nowak, Theresa Marie
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2020
Last updated Jun 11th, 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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