Wiedemann, Teresa
Wiedemann, Teresa is an sole proprietor health care provider with primary practice located at 139 Russet Rd , Walla Walla WA 99362-8253. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wiedemann, Teresa can be contacted via phone (509) 520-4370.Contact Information
Primary practice address
139 Russet Rd
Walla Walla WA 99362-8253
Phone: (509) 520-4370
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LW 60111377 | Washington |
Profile Details
| NPI number | 1063790509 |
|---|---|
| LBN Legal business name | Wiedemann, Teresa |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 2nd, 2011 |
| Last updated | Apr 9th, 2012 - about 12 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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