Spencer, Terry Lee

Spencer, Terry Lee is an sole proprietor health care provider with primary practice located at 2132 13Th Ave Ne , Hickory NC 28601-2906. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Spencer, Terry Lee can be contacted via phone (828) 327-2534.

Contact Information

Primary practice address
2132 13Th Ave Ne Hickory NC 28601-2906
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C005106 North Carolina

Profile Details

NPI number 1659575199
LBN Legal business name Spencer, Terry Lee
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2007
Last updated Nov 23rd, 2009 - about 16 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 1659575199 NPPES
North Carolina MEDICAID 6106058

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