Ponikvar, Teresa Louise

Ponikvar, Teresa Louise is an individual health care provider with primary practice located at 411 Borel Ave Ste 101 , San Mateo CA 94402-3525. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Ponikvar, Teresa Louise can be contacted via phone (650) 393-8929.

Contact Information

Primary practice address
411 Borel Ave Ste 101 San Mateo CA 94402-3525
Phone: (650) 393-8929
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1548996622
LBN Legal business name Ponikvar, Teresa Louise
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2022
Last updated Jul 29th, 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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