Aultman, Terry T

Aultman, Terry T is an individual health care provider with primary practice located at 6236 N Highway 146 Suite 9, Baytown TX 77523-9081. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Aultman, Terry T can be contacted via phone (281) 918-0152.

Contact Information

Primary practice address
6236 N Highway 146 Suite 9 Baytown TX 77523-9081
Fax: (281) 918-0151
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 61145 Texas

Profile Details

NPI number 1013121805
LBN Legal business name Aultman, Terry T
Credentials MA LPC
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2007
Last updated Jul 14th, 2015 - about 11 years ago

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 1013121805 NPPES
Texas MEDICAID 183143003

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