Williams, Teresa D

Williams, Teresa D is an individual health care provider with primary practice located at 6079 Main St , East Petersburg PA 17520-1267. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Williams, Teresa D can be contacted via phone (717) 560-1908.

Contact Information

Primary practice address
6079 Main St East Petersburg PA 17520-1267
Phone: (717) 560-1908
Fax: (717) 560-4941
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS005759L Pennsylvania

Profile Details

NPI number 1841299799
LBN Legal business name Williams, Teresa D
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Jul 6th, 2024 - about last year

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 1841299799 NPPES
Pennsylvania MEDICAID 001511150

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