Walters, Terry Lynne
Walters, Terry Lynne is an individual health care provider with primary practice located at 517 Harwood Rd Ste 102 , Bedford TX 76021-4109. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Walters, Terry Lynne can be contacted via phone (817) 485-9003.Contact Information
Primary practice address
517 Harwood Rd Ste 102
Bedford TX 76021-4109
Phone: (817) 485-9003
Fax: (817) 788-2880
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 23114 | Texas |
Profile Details
| NPI number | 1104974377 |
|---|---|
| LBN Legal business name | Walters, Terry Lynne |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 6th, 2007 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104974377 | NPPES |
| Texas | Other | G63C | BCBS PROVIDER NUMBER |
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