NPI 1861876559 MRS. TERESA IVA DOUGLAS M.S., CCC-SLP QUINCY IL. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Mrs. Teresa Iva Douglas - NPI: 1861876559

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MRS. TERESA IVA DOUGLAS
NPI Number: 1861876559
Entity Type Code: Individual (1)
Gender: F
Credentials: M.S., CCC-SLP
License Number: 146.009793
Business Practice Address: 4515 Quail Creek Dr
Quincy, IL - 623058800
Business Phone Number: 2177790333
Business Fax Number:
Mailing Address: 4515 Quail Creek Dr,
QUINCY
State: IL
Postal Code: 623058800
Phone Number: 2177790333
Fax Number:
NPI Enumeration Date: 07/13/2015
NPI Last Update Date: 07/13/2015
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 235Z00000X
License Number: 146.009793
Healthcare Provider Taxonomy:
(Secondary)
Y
State: IL
Taxonomy Type: Speech, Language and Hearing Service Providers
Taxonomy Classification: Speech-Language Pathologist
Taxonomy Specialization:
Taxonomy Definition:
A speech pathologist is a person qualified by a master


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