Teixeira, Jerry Lee

Teixeira, Jerry Lee is an sole proprietor health care provider with primary practice located at 200 Newport Center Dr Suite 300, Newport Beach CA 92660-7501. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Teixeira, Jerry Lee can be contacted via phone (949) 760-2613.

Contact Information

Primary practice address
200 Newport Center Dr Suite 300 Newport Beach CA 92660-7501
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY10216 California

Profile Details

NPI number 1134275548
LBN Legal business name Teixeira, Jerry Lee
Credentials PH.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2007
Last updated Jul 8th, 2007 - about 17 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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