Teater, Julie Dawn

Teater, Julie Dawn is an sole proprietor health care provider with primary practice located at 1907 Pass Rd Suite G, Biloxi MS 39531-4101. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Teater, Julie Dawn can be contacted via phone (228) 594-9010.

Contact Information

Primary practice address
1907 Pass Rd Suite G Biloxi MS 39531-4101
Fax: (228) 594-9012
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 39-002 Mississippi

Profile Details

NPI number 1467565549
LBN Legal business name Teater, Julie Dawn
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2006
Last updated Oct 26th, 2010 - about 14 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 1467565549 NPPES
Mississippi Other 562344223 TAX INDENTIFICATION #

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