Smith, Teresa D.
Smith, Teresa D. is an individual health care provider with primary practice located at 1215 Quarrier St , Charleston WV 25301-1809. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Smith, Teresa D. can be contacted via phone (304) 344-0349.Contact Information
Primary practice address
1215 Quarrier St
Charleston WV 25301-1809
Phone: (304) 344-0349
Fax: (304) 344-0384
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 213 | West Virginia |
Profile Details
| NPI number | 1144244526 |
|---|---|
| LBN Legal business name | Smith, Teresa D. |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144244526 | NPPES |
| West Virginia | MEDICAID | 0165217000 |
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