Slade, Theresa

Slade, Theresa is an individual health care provider with primary practice located at 1615 York Rd Ste 300 , Lutherville Timonium MD 21093-5639. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Slade, Theresa can be contacted via phone (443) 470-9297.

Contact Information

Primary practice address
1615 York Rd Ste 300 Lutherville Timonium MD 21093-5639
Phone: (443) 470-9297
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1679233092
LBN Legal business name Slade, Theresa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2021
Last updated Dec 27th, 2021 - about 3 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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