Tercyak, Kenneth
Tercyak, Kenneth is an sole proprietor health care provider with primary practice located at 4000 Reservoir Rd Nw , Washington DC 20007-2145. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Tercyak, Kenneth can be contacted via phone (202) 444-2224.Contact Information
Primary practice address
4000 Reservoir Rd Nw
Washington DC 20007-2145
Phone: (202) 444-2224
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 3702 | Maryland |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY1000152 | District of Columbia |
Profile Details
| NPI number | 1346240173 |
|---|---|
| LBN Legal business name | Tercyak, Kenneth |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 22nd, 2005 |
| 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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