Chase, Terry Lee
Chase, Terry Lee is an individual health care provider with primary practice located at 13193 Central Ave Suite 200, Chino CA 91710-7200. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Chase, Terry Lee can be contacted via phone (909) 902-9111.Contact Information
Primary practice address
13193 Central Ave Suite 200
Chino CA 91710-7200
Phone: (909) 902-9111
Fax: (909) 902-9199
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY11141 | California |
Profile Details
| NPI number | 1447234679 |
|---|---|
| LBN Legal business name | Chase, Terry Lee |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447234679 | NPPES |
| California | MEDICAID | PSY111411 |
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