Doctor Name: | TERRY LEE DEHAMER |
NPI Number: | 1447382825 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LISW, LICDC |
License Number: | I-18134 |
Business Practice Address: | 500 E Church St Ste 5c Wintersville, OH - 439533701 |
Business Phone Number: | 7403815126 |
Business Fax Number: | 7409441181 |
Mailing Address: | 186 Township Road 202, BLOOMINGDALE |
State: | OH |
Postal Code: | 439107878 |
Phone Number: | 7403815126 |
Fax Number: | 7409441181 |
NPI Enumeration Date: | 03/12/2007 |
NPI Last Update Date: | 10/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | I-18134 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |