Doctor Name: | MRS. BRIANNE N TESLA-DOYLE |
NPI Number: | 1427239425 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | LC3476 |
Business Practice Address: | 181 Michelle Dr Hedgesville, WV - 254275886 |
Business Phone Number: | 2408188911 |
Business Fax Number: | |
Mailing Address: | Po Box 4501, HAGERSTOWN |
State: | MD |
Postal Code: | 217420501 |
Phone Number: | 2408188911 |
Fax Number: | |
NPI Enumeration Date: | 11/19/2007 |
NPI Last Update Date: | 05/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LC3476 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |