Todd, Theriault Jeanne
Todd, Theriault Jeanne is an sole proprietor health care provider with primary practice located at 9940 Talbert Ave Suite 100, Fountain Valley CA 92708-5153. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Todd, Theriault Jeanne can be contacted via phone (714) 369-7012.Contact Information
Primary practice address
9940 Talbert Ave Suite 100
Fountain Valley CA 92708-5153
Phone: (714) 369-7012
Fax: (714) 939-7720
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY14108 | California |
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PSY14108 | California |
Behavioral Health & Social Service Providers / Health | 103TH0004X | PSY14108 | California |
Profile Details
NPI number | 1952621351 |
---|---|
LBN Legal business name | Todd, Theriault Jeanne |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 8th, 2010 |
Last updated | Jul 14th, 2010 - about 15 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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