Widen, Terri

Widen, Terri is an sole proprietor health care provider with primary practice located at 110 Maycox Ave Ste 3 , Norfolk VA 23505-3433. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Widen, Terri can be contacted via phone (757) 769-7040.

Contact Information

Primary practice address
110 Maycox Ave Ste 3 Norfolk VA 23505-3433
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 0704011409 Virginia

Profile Details

NPI number 1114567666
LBN Legal business name Widen, Terri
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2020
Last updated Jan 13th, 2020 - about 5 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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