Teitsma, Jack A
Teitsma, Jack A is an individual health care provider with primary practice located at 1616 Ponte Leone Ln , League City TX 77573-5067. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Teitsma, Jack A can be contacted via phone (630) 386-5106.Contact Information
Primary practice address
1616 Ponte Leone Ln
League City TX 77573-5067
Phone: (630) 386-5106
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 34453 | Texas |
Profile Details
| NPI number | 1831327196 |
|---|---|
| LBN Legal business name | Teitsma, Jack A |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2009 |
| Last updated | Dec 11th, 2011 - about 13 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.
Popular Providers
-
Davis, Nicole
13283 State Highway 155 N , Ore City TX 75683 -
Miller, Melissa Carpentier
4501 Cartwright Rd Ste 705 , Missouri City TX 77459-3541 -
Salas, Katie D.
620 W Main St Suite 101, League City TX 77573-3777 -
Grimsley, Kimberly Vandermark
1501 N Amburn Rd Ste 12 , Texas City TX 77591-2466 -
Douglas, Rosslyn
2600 S Shore Blvd Ste 300 , League City TX 77573-2944 -
Logsdon, Steven A
433 Kitty Hawk Rd Ste 219, Universal City TX 78148-3829 -
Jones, Jacqueline Kay
7070 Kights Ct Ste 1301, Missouri City TX 77459-6855 -
Yuvarajan, Elil
216 N Michigan Ave , League City TX 77573-2431