Brazil, Teri Lynn

Brazil, Teri Lynn is an individual health care provider with primary practice located at 3015 E Skelly Dr Suite 103, Tulsa OK 74105-6317. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Brazil, Teri Lynn can be contacted via phone (918) 712-0859.

Contact Information

Primary practice address
3015 E Skelly Dr Suite 103 Tulsa OK 74105-6317
Phone: (918) 712-0859
Fax: (918) 388-9708
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1871852384
LBN Legal business name Brazil, Teri Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2012
Last updated May 4th, 2012 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1871852384 NPPES
Oklahoma MEDICAID 100746170 G
Oklahoma MEDICAID 100746170 U

Popular Providers