Doctor Name: | TERESA MARIE ZIMMERMAN PRICE |
NPI Number: | 1568644037 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | LH60098274 |
Business Practice Address: | 263 Holly Grove Road Anacoco, LA - 71403 |
Business Phone Number: | 3373538545 |
Business Fax Number: | |
Mailing Address: | 263 Holly Grove Road, P.o. Box 341 ANACOCO |
State: | LA |
Postal Code: | 71403 |
Phone Number: | 3373538675 |
Fax Number: | |
NPI Enumeration Date: | 11/27/2007 |
NPI Last Update Date: | 11/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LH60098274 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |