Bourdeau, Teri Leann

Bourdeau, Teri Leann is an sole proprietor health care provider with primary practice located at 2345 Southwest Blvd , Tulsa OK 74107-2705. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bourdeau, Teri Leann can be contacted via phone (918) 561-8383.

Contact Information

Primary practice address
2345 Southwest Blvd Tulsa OK 74107-2705
Phone: (918) 561-8383
Fax: (918) 561-8546
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1009 Oklahoma

Profile Details

NPI number 1811051238
LBN Legal business name Bourdeau, Teri Leann
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2006
Last updated Feb 20th, 2014 - about 12 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 1811051238 NPPES
Oklahoma MEDICAID 200078120A

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