Evanoff, Theresa
Evanoff, Theresa is an sole proprietor health care provider with primary practice located at 418 Cobun Creek Rd , Morgantown WV 26508-3832. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Evanoff, Theresa can be contacted via phone (304) 614-4323.Contact Information
Primary practice address
418 Cobun Creek Rd
Morgantown WV 26508-3832
Phone: (304) 614-4323
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1244 | West Virginia |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1244 | West Virginia |
Profile Details
| NPI number | 1891325361 |
|---|---|
| LBN Legal business name | Evanoff, Theresa |
| Credentials | MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2020 |
| Last updated | Sep 26th, 2024 - about 2 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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