Dodrill, Terra Leigh

Dodrill, Terra Leigh is an individual health care provider with primary practice located at 29520 Canvasback Dr , Easton MD 21601-7124. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Dodrill, Terra Leigh can be contacted via phone (410) 822-5007.

Contact Information

Primary practice address
29520 Canvasback Dr Easton MD 21601-7124
Fax: (410) 822-5569
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1235532144
LBN Legal business name Dodrill, Terra Leigh
Credentials BS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2014
Last updated Feb 20th, 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 1235532144 NPPES
Maryland MEDICAID 609500300
Maryland MEDICAID 609500303
Maryland MEDICAID 609500301

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