Von Woglom, Teresa C.

Von Woglom, Teresa C. is an sole proprietor health care provider with primary practice located at 455 School St Suite 14, Tomball TX 77375-4593. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Von Woglom, Teresa C. can be contacted via phone (281) 351-6561.

Contact Information

Primary practice address
455 School St Suite 14 Tomball TX 77375-4593
Fax: (281) 516-7159
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 02267 Texas

Profile Details

NPI number 1184726036
LBN Legal business name Von Woglom, Teresa C.
Credentials LCSW, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2006
Last updated Jul 9th, 2007 - about 18 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 1184726036 NPPES
Texas Other 226924 VALUE OPTIONS
Texas Other 0099JN VALUE OPTIONS

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