Izquierdo, Teresa G

Izquierdo, Teresa G is an individual health care provider with primary practice located at 7413 Us Highway 42 Ste 3 , Florence KY 41042-1999. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Izquierdo, Teresa G can be contacted via phone (859) 869-4463.

Contact Information

Primary practice address
7413 Us Highway 42 Ste 3 Florence KY 41042-1999
Phone: (859) 869-4463
Fax: (859) 869-4476
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 5985 Ohio
Behavioral Health & Social Service Providers / Clinical 103TC0700X 130270 Kentucky

Profile Details

NPI number 1043349749
LBN Legal business name Izquierdo, Teresa G
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Jan 2nd, 2023 - about 3 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 1043349749 NPPES
Kentucky Other 1467997361 GROUP PRACTICE NPI IDENTIFICATION FOR FORWARD FOCUS PAYCHOLOGICAL ASSOCIATES

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